基层医院ICU医院感染目标性监测分析

Primary Hospital Infection Monitoring Analysis of ICU Targeted

目的了解重症监护病房患者医院感染发生率、危险因素。探讨有效预防与控制感染的方法。方法对264例入住ICU患者进行医院感染目标性监测。结果 264例患者中,发生医院感染64例,医院感染发生率为38.64%,患者日感染率为43.20‰,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8.00%。检出病原菌82株,主要为革兰阴性杆菌,其次为革兰阳性球菌及真菌。结论 ICU患者多为危重病例,医院感染发病率高,与使用呼吸机、留置导尿管等有关,留置时间越长越易引起感染,在进行各项操作时应严格执行无菌操作技术,加强手卫生规范,减少侵入性操作时间,合理使用抗菌药物,减少医院感染的发生。

Objective To investigate the ICU patients nosocomial infections, risk factors. Explore effective prevention and control method of infection. Methods 264 cases of patients with ICU admission of hospital infection targeted monitoring. Results 264 patients, the occurrence of nosocomial infection in 64 cases, hospital infection rate was 38.64% , the patient, infection rates 43.20 %~, according to the illness severity of average by ASA method after the adjustment of hospital infection rate of 8.00%. Detected 82 strains of pathogenic bacteria, mainly for the gram-negative bacteria, and secondly for positive coccus and fungi. Conclusions ICU patients for more serious disease, hospital infection rates high, and use breathing machine, detaining urethral catheter and other relevant, lien the longer the easy cause infection, in the operation should strictly carry out aseptic handling technology, strengthen the hand hygiene standards, reduce invasive operation time, rational use of antimicrobial agents, the reduction of hospital infection.