摘要
[目的]分析重症监护病房（ICU）的医院感染情况,探讨预防感染的措施。[方法]回顾性分析台州医院综合性ICU2004年1~12月间637例住院病人的相关临床资料。[结果]发生医院感染109例,感染率17.11%,明显高于同期医院平均感染率的4.93%;高年龄患者医院感染率明显增高;基础疾病以颅脑损伤、脑血管疾病医院感染发生率最高;医院感染部位以呼吸道最高,占51.46%;ICU医院感染的病原菌主要是G＋菌,占53.22%,以金黄色葡萄球菌、白色念珠菌为最常见,G-菌占35.67%,主要是肺炎克雷伯菌、大肠埃希菌。[结论]ICU是医院感染的高发科室,应作临床重点监测,并应做到严格无菌操作、严格消毒隔离,正确合理使用抗生素,以降低ICU病人的医院感染率。
[Objective]To analyze the conditions of hospital infection in intensive care unit（ICU）and probe into the preventive measures for hospital infection.[Methods]The clinical data of 637 cases of inpatients in synthetic ICU in Taizhou hospital from January to December in 2004 were retrospectively analyzed.[Results]There were 109 hospital infection cases and the infection rate was 17.11%,which was significantly higher than the average hospital infection rate of the same period（4.93%）.The infection rate of aged patients increased obviously.The infection rates of patients suffered from basic diseases such as craniocerebral injury and cerebrovascular disease were the highest.And the infection rate of respiratory tract ranked the first,which was 51.46%.Most patients in ICU were infected by G＋ bacteria and the infection rate was 53.22%,and Staphylococcus aureus and Candida albicans were the most common.While hospital infection of G-bacteria accounted for 35.67% and the most common were Klebsiella pneumonic and Escherichia coli.[Conclusions]Hospital infections are the most prone to happen in ICU.So,we should give it more clinical supervision.We should go on a strict antiseptic technique,disinfect and isolate strictly and make use of antibiotics correctly and rationally,so as to reduce the hospital infection rate among patients in ICU.
出处
《现代预防医学》
CAS
北大核心
2007年第22期4379-4380,4382,共3页
Modern Preventive Medicine
关键词
重症监护病房
医院感染
高危因素
预防措施
Intensive care unit（ICU）
Hospital infection
High-risk factor
Preventive measures
