综合管理方案对医院ICU降低医院感染的效果评价

Effect evaluation of integrated management program for reducing hospital infections in ICU

目的探讨综合管理方案对医院ICU降低医院感染的影响,为临床降低ICU患者感染提供科学依据。方法选取2013年1月-2014年12月医院ICU住院治疗的患者196例,根据患者接受的干预方案不同分为对照组和观察组,每组各98例,对照组患者接受常规干预,观察组接受综合管理方案干预,比较两组患者在ICU发生的感染率及病原菌检出率等。结果观察组患者接受综合管理方案干预后,医院感染率为4.08%,显著低于对照组的18.36%,差异有统计学意义(P<0.05);观察组患者导管相关性感染率为4.08%,显著低于对照组的18.36%,差异有统计学意义(P<0.05);观察组患者病原菌检出株数及使用抗菌药物种类与对照组患者比较,差异均无统计学意义。结论综合管理方案应用于医院ICU患者,可有效降低医院感染率及并发症发生率,降低抗菌药物的使用费用,值得临床推广。

OBJECTIVE To investigate the effect of integrated management programs for reducing hospital infections in ICU ,so as to provide scientific basis for the reduction of nosocomial infections in ICU .METHODS Totally 196 cases of patients hospitalized from Jan .2013 to Dec .2014 in ICU were selected .They were divided into control group and observation group with 98 cases each .The control group received conventional intervention and the ob‐servation group received integrated management program .The infection rate and pathogen detection rate were compared between the two groups .RESULTS After received intervention ,the observation group had the infection rate of 4 .08% ,which was significantly lower than that of the control group （18 .36% ） （P〈0 .05） .In observation group ,the catheter‐related infection rate was 4 .08% ,significantly lower than that of the control group （18 .36% ） （P〈0 .05） .The pathogen strains and use of antibiotics were similar in the two group ,so the difference was not significant .CONCLUSION The integrated management program can effectively reduce nosocomial infections and rate of complications ,decrease cost of antibiotics when used in patients in ICU ,hence is worthy to be promoted .