综合性ICU医院感染的目标性监测分析

Analysis of nosocomial infection objective monitoring in intensive care unit

目的分析重症监护病房(ICU)医院感染目标性监测的结果,了解医院感染特点,有效预防和控制医院感染。方法监测2011年1月—12月皖南医学院弋矶山医院ICU住院患者医院感染发生率及部位分布、3种侵入性操作使用率及相关性感染发生率,并将数据进行汇总、整理、统计分析。结果 2011年共调查827例住院患者,发生医院感染27例,29例次;患者日(例次)感染率为5.25‰。呼吸机相关肺部感染率为11.19‰;导管相关血液感染率为1.63‰;尿管相关尿路感染率为0.20‰。医院感染部位以肺部感染为主。共检出病原菌31株,大多为革兰氏阴性菌,主要病原菌以铜绿假单胞菌和鲍曼不动杆菌为主(各占29.03%)。结论目标性监测是一种科学、有效的监测方法,能及时发现医院感染管理的薄弱环节,适时制订有效的感染控制措施,有效预防和控制医院感染。

Objective To analyze the results of nosocomial infection objective monitoring in Intensive Care Unit（ ICU）and discover the characteristics of nosocomial infection,effectively prevent and control nosocomial infection. Methods Monitoring the rate of nosocomial infection and its infection sites,the usage of three invasive operation and the rate of related infections of the patients in the ICU,from Jan to Dec 2011. All the data were collected,summarized and statistical analyzed. Results In 2011,827 patients were investigated,27 patients（ 29 cases） were acquired nosocomial infection,day（ time） infection rate was 5. 25‰,the rate of ventilator-associated pneumonia,catheter-associated blood infection and catheter-associated urinary tract infection was 11. 19‰,1. 63‰ and 0. 20‰,respectively. The main infection site was pulmonary infection. A total of 31 bacterial strains were isolated,most of the bacterial strains were Gram-negative strains.Main pathogens were pseudomonas aeruginosa and acinetobacter baumannii（ each was 29. 03%）. Conclusion Objective monitoring was a scientific and effective method,it can find the weak points of nosocomial infection management and take the effective measures to control the nosocomial infection.