山东省12所综合性医院ICU目标性监测分析

Target Monitoring of Nosocomial Infection in ICU of 12 Hospitals in Shandong Province

目的了解ICU患者的医院感染发生率、危险因素、预防措施,防止医院感染发生。方法采取目标性监测方法,对12所综合性医院ICU的住院患者发生医院感染的情况进行调查,用ASA法调整医院感染发病率,并对侵入性操作相关感染进行分析。结果2087例ICU住院患者中,发生医院感染236例,医院感染发生率为11.31%,患者日感染率为2.38%,根据病情的平均严重程度经ASA法调整后的医院感染发生率为3.57%,患者日感染率为0.67%。结论ICU患者是医院感染易感人群,目标性监测可以有效地降低ICU患者医院感染的发生。

OBJECTIVE To investigate the incidence of nosocomial infection in ICU patients and its risk factors to take measures to prevent from infection. METHODS The nosocomial infection of ICU patients in 12 hospitals from Oct to Dec 2007 using the method of target monitoring was investigated. The nosocomial infection rate was regalated by the method of ASA. The invasive procedure and the associated infection rate were analyzed. RESULTS Among 2087 inpatients in 1CU, 236 suffered from nosocomial infection, The nosocomial infection incidence was 11.31%, and the nosocomial infection rate per day was 2. 38% after regulated by the method of ASA. The patient incidence of nosocomial infection was 3. 57%, and the nosocomial infection rate per day was 0. 67%. CONCLUSIONS The patients in ICU are susceptible population of nosocomial infection, target monitoring in ICU is an effective surveillance method to reduce the prevalence of nosocomial infection.