六安市人民医院2013年重症监护室医院感染目标性监测结果分析

Analysis of target surveillance of nosocomial infections in ICU

目的动态监测ICU医院感染发病率及相关导管感染率,为采取防控措施提供科学依据。方法制订ICU目标性监测方案,对2013年入住ICU超过48h患者进行实时动态监测,监测医院感染率,器械使用率和感染率。结果 2013年共监测541例患者,发生院内感染73例,感染率为13.49%,呼吸机相关性肺部感染率为20.38‰,中心静脉导管相关血液感染率为8.71‰,导尿管相关尿路感染率为2.72‰。结论 ICU目标性监测能及时了解医院感染动态变化及管理的薄弱环节。

Objective To monitor the incidence and prevalence of catheter related infection （ CRI ） in hospital ICU department, and provide the scientific evidences for control measures. Methods Making the strategy of target surveillance in ICU department, we monitored and analyzed the data of patients in ICU since 2013. Results The target surveillance recorded 540 patients in 2013, of 73 infected patients with the infection rate of 13.49%. Ventilator - associated pneumonia （ VAP） infection rate was 20.38‰, central venous catheter related blood stream infection rate [ CR - BSI） was 8.71‰, and catheter associated urinary tract infection （ CAUTI） rate was 2.72‰. Conclusion The target surveillance in ICU could help understand the dynamic changes of nosocomial infection and find the weak loops in management.