外科ICU实施导管相关感染预防控制措施效果研究

Effects on Practice Preventive Measures of Catheter-associated Nosocomial Infection in Surgical Intensive Care Unit

目的了解重症监护病房(ICU)实施导管相关感染干预措施后的效果。方法对2006年1月-2009年12月入住外科ICU的患者,采用目标性监测方法 ,对医院感染发病情况进行监测,并用患者平均病情严重程度(ASIS)调整法调整医院感染发病率,同时对导管相关医院感染进行分析。结果经ASIS调整后的日感染例次发病率由原来的7.49‰下降至4.45‰,导管相关感染率均有不同程度下降,呼吸机相关性肺部感染率由10.53‰下降至4.79‰。结论 ICU采取导管相关感染预防控制措施能明显降低感染率。

OBJECTIVE To realize the effects on practice preventive measures of catheter-associated nosocomial infection（NI） in intensive care unit. METHODS An objective surveillance method was adopted to monitor the occurrence of NI in patient in surgical intensive care unit between Jan 2006 and Dec 2009, NI rates were adjusted with ASIS method, and the NI rates of catheter-associated nosocomial infection was analyzed. RESULTS After adjusted with ASIS method, the daily NI rate was decreased from 7.49 ‰ to 4.45 ‰. The NI rates of catheterassociated nosocomial infection were decreased. The NI rates of ventilator associated pneumonia were decreased from 10.53 ‰ to 4. 79 ‰. CONCLUSIONS Carrying out preventive measures of catheter-associated nosocomial infection in intensive care unit, NI rates can be decreased obviously.