综合ICU医院感染目标性监测及干预效果调查

Targeted surveillance on nosocomial infection and analysis on intervention effect in integrated ICU

目的通过开展目标性检测,了解ICU医院感染发生情况、危险因素及干预效果。方法采用前瞻性目标性监测的方法,对2011年7月—2012年6月兵器工业五二一医院ICU患者进行医院感染监测,同时运用PDCA循环的方法进行干预。结果监测338例患者,发生医院感染52例次,例次感染发病率为15.38%,调整例次感染发病率为4.13%;呼吸机相关性肺炎42.58‰,导尿管相关性尿路感染4.33‰,导管相关性血流感染4.94‰。结论 ICU患者导管使用多,呼吸机相关性肺炎发生率高,应加强监测,并针对危险因素运用PDCA循环的方法进行干预,效果良好。

[ Objective ] To carry out the targeted surveillance, understand the incidence rate, risk factors .and intervention effect of nosocomial infection in ICU. [ Methods ] By using prospective targeted surveillance, patients in ICU of No.521 Hospital （ Ordnance Industry Health Institute ） were monitored for f nosocomial infection from July 2011 to June 2012, and the intervention was conducted by PDCA circulation method. [ Results ] Among 338 patients, there were 52 cases-times of nosoeomial infection with the incidence rate of 15.38%, and adjusted incidence rate was 4.13%. The rate of ventilator associated pneumonia Was 42.58‰, the rate of catheter associated urinary tract infection was 4.33‰, and the rate of catheter related bloodstream infection was 4.94‰. [ Conclusion ] ICU patients are treated with catheter more frequently, and the incidence rate of ventilatorl associated pneumonia is high. It is necessary to strengthen the surveillance and implement the effective intervention of PDCA circulation method according to risk factors, which has good effect.