摘要
目的评估ICU患者导管相关性医院感染的发生情况。方法以480例符合条件的ICU患者为研究对象,前瞻性地观察导管留置情况、导管相关性医院感染的发生情况,并对监测数据进行统计分析。结果 480例留置导管的ICU患者中,121例出现导管相关性医院感染,感染率为25.2%。最常见的感染是导尿管相关性医院感染(51.7%)。193例气管插管患者发生44例次感染,例次感染率为22.8%;410例导尿患者发生79例次感染,例次感染率为19.2%;370例中心静脉置管患者发生30例次感染,例次感染率为8.1%。气管插管的千导管日医院感染发生率最高,为10.4%。留置不同数量导管患者相比,例次感染率有统计学差异(χ~2=33.540,P<0.001)。结论 ICU患者发生导管相关性医院感染的几率较高,其中最为常见的是导尿管相关性医院感染,且使用导管数量越多,其感染发生率越高。严格控制导管留置指征、加强导管尤其是导尿管及气管插管的护理是减少ICU导管相关性医院感染的关键。
Objective To assess the incidence of catheter-associated nosocomial infections of ICU patients. Methods Totally 480 eligible ICU patients were enrolled in this study. The incidence of catheterization and catheter-related nosocomial in- fection were prospectively observed and the data were analyzed statistically. Results Among 480 ICU patients with indwelling catheters, 121 patients had catheter-related infection, and the infection rate was 25.2%. The most common infection was catheter related nosocomial infection （51.7% ）. Infections occurred in 44 cases out of 193 cases of intubation patients, with a rate of 22.8%. Infections occurred in 79 cases out of 410 cases of catheterization patients, with a rate of 19.2%. Infections occurred in 30 cases out of 370 patients with indwelling central venous catheter, with a rate of 8. 1%. Intubation patients had a highest incidence of nosocomial infections, with a rate of 10.4%o. The infection rate was significantly different among patients with indwelling different catheter numbers （χ^2 = 33. 540,P〈0. 001 ）. Conclusion ICU patients are prone to catheter-associated nosocomial infections, and catheter related infection is an important component. The more ducts patients indwell, the higher infection incidence patients have, especially catheters and endotracheal catheters related infections. Strict control of catheterization indications and strengthening medical care of catheters and endotracheal intubation is the key to reducing catheter-related nosocomial infections in ICU.
出处
《中国医院统计》
2017年第3期170-172,共3页
Chinese Journal of Hospital Statistics
关键词
重症监护室
导管相关性医院感染
气管插管
导尿管
中心静脉导管
intensive care unit
catheter-associated nosocomial infection
endotracheal intubation
catheter
central venous catheter
