摘要
目的监测综合ICU患者医院感染发生情况,为医院感染控制提供依据。方法医院感染管理专职人员对入住综合ICU的患者进行医院感染目标性监测,转出ICU后随访48小时。结果监测857例患者,发生医院感染57例,感染率6.65%,67例次,例次感染率7.82%;医院感染部位以下呼吸道为首位;医院感染病原菌以多重耐药的鲍曼不动杆菌和MRSA为主;年龄>60岁、住院时间>10天医院感染发生率明显增高;恶性肿瘤和心脑血管疾病医院感染发生率高于其他系统疾病。结论合理使用抗菌药物,加强多重耐药菌感染患者的管理和消毒隔离,认真执行手卫生制度,严格执行无菌操作规程,减少有创性操作,尽量缩短患者在ICU的住院时间,是降低医院感染发病率的关键。
Objective To monitor the incidence of nosocomial infections in integrated ICU,and explore the basis of hospital infection controlling.Method Objective monitoring was carried out by professionals in nosocomial infection control to determine incidence of nosocomial infection in patients transferring in ICU,then further follow-up was done within 48 hours after transferring out of ICU.Result Of total 857cases,nosocomial infections were observed in 57 cases（6.65%）.Lower respiratory tract infections was the most common manifestation;Main pathogens in hospital infection were acinetobacter baumannii with multiple antibiotic resistance（MAR） and methicillin-resistant Staphylococcus aureus（MRSA）.Incidence of nosocomial infection was significantly higher in patients older than 60 years or stayed more than 10 days.Higher incidence also was observed in patients with cancers or cardiovascular diseases than other systemic diseases.Conclusion The measures such as rational usage of antibiotics,enhanced management of patients with multi-resistant infection,regulations of disinfection and isolation,strict hand hygiene practices,aseptic technique as well as reducing of invasive procedure and shortening ICU stay may be crucial to reduce nosocomial infections.
出处
《西部医学》
2010年第11期2179-2181,共3页
Medical Journal of West China
关键词
医院感染
ICU
目标监测
Nosocomial infection
Intensive Care Unit
Objective monitoring
