医院感染目标性监测报告分析

Target surveillance report of nosocomial infections

目的针对高危人群、高发感染部位等开展医院感染及其危险因素的监测,及时控制医院感染暴发流行。方法 2011年1-6月根据《医院感染监测规范》,采用查看病历与临床查房相结合进行感染监测。结果 ICU医院感染率10.70%,导尿管使用率53.56%,导尿管相关泌尿道感染日感染率2.73‰;中心静脉插管使用率99.09%,中心静脉插管相关血流日感染率1.11‰;呼吸机使用率46.25%,呼吸机相关肺炎日感染率13.44‰;总器械使用率198.90%;新生儿医院感染发生率为0.86%,患儿日感染率为1.76‰;手术部位Ⅰ类切口感染率1.02%,Ⅱ类切口感染率2.35%,Ⅲ类切口感染率20.00%。结论目标性监测的灵活性能及早预测感染源,及时控制医院感染暴发流行,是减少医院感染的科学监测方法。

OBJECTIVE To develop the surveillance of high risk population and infection sites as well as the risk factors so as to control the prevalence of nosocomial infections.METHODS According to the standards for nosocomial infection surveillance,the surveillance of nosocomial infections was performed by reviewing the medical records in combination with clinical ward rounds.RESULTS The nosocomial infection rate was 10.70% in ICU,the utilization rate of the catheter was 53.56%,the daily incidence rate of the urinary tract catheter-related infections was 2.73‰;the utilization rate of central venous catheterization was 99.09%,the daily infection rate of central venous catheter-related bloodstream infections was 1.11‰;the utilization rate of ventilator was 46.25%,the daily incidence rate of ventilator-associated pneumonia was 13.44‰;the total equipment utilization rate was 198.90%;the incidence of nosocomial infections was 0.86% in the neonates with the daily infection rate of 1.76‰;the incidence of the classⅠsurgical incision infections was 1.02%,class Ⅱ surgical incision infections 2.35%,class Ⅲ surgical incision infections 20.00%.CONCLUSION The target surveillance,as a scientific surveillance of nosocomial infections,is flexible and can predict the sources of infections in early stage as well as control the outbreak and prevalence of nosocomial infections.