重症监护病房医院感染分析及控制

目的:了解重症监护病房医院感染的相关因素,探讨有效的控制措施,降低重症监护病房的医院感染发生率。方法:回顾性分析重症监护病房发生医院感染的资料。结果:826例重症监护患者,104例发生院感,感染率12.5%,其中下呼吸道感染62例(59.67%),泌尿道插管相关感染157例(19.23%),血管插管相关感染9例(8.65%),伤口感染8例(7.7%),其他部位5例(4.75%),感染的发生与患者年龄、入住时间、所患基础疾病、侵入性操作等因素有关。结论:为有效控制ICU的院感发生率,医务人员应提高院感意识,规范手卫生,做好ICU的环境控制,加强侵入性操作的管理与控制。

Objective：To investigate risk factors of nosoeomial infection in intensive care units to constitute measures for preventing and reduce the incidence of nosocomial infection in ICU.Methods：The nosocomial infection data in intensive care units in our hospital from 2009 to 2010 were retrospectively studied.Results：104 patients（accounting for 12.50%）of 826 ICU patients generated nosoeomial infection,including 62 patients（59.67%）with lower respiratory tracts infection,157 patients（19.23%）with urinary catheter related infection,9 patients（8.65%）with vascular catheter related infection,8 patients（7.7%）with wound infection,5 patients（4.75%）with the other parts infection.The age,check-in time,the underlying diseases and the invasive operation were important risk factors for nosoeomial infection.Conclusions：To control the incidence of nosocomial infection in ICU effectively,Medical staff should increase awareness of hospital infection,Standardize hand hygiene,control environmental and enhance the management and control of invasive operations.