重症监护室院内感染的分析与预防

Analysis and Prevention of Nosocomial Infection in Intensive Care Unit

目的：通过分析某院重症监护室院内感染的发生情况,探讨防止及降低重症监护室院内感染的预防措施。方法：选取某院重症监护室2011年1月～2012年5月期间病例426例,其中发生医院内获得性感染病例130例的相关临床资料作为对照组;同时选取加强相关预防措施后的2013年1月～2014年5月期间病例393例,其中发生医院内获得性感染病例77例的相关临床资料作为观察组,对两组进行比较分析。结果：对照组医院内感染发生率为30.4%,而观察组医院内感染发生率为19.5%,两组比较有显著差异（P〈0.05）。结论：应加强手部卫生、无菌操作、消毒隔离、日常监测、基础护理这5个方面的工作,来预防及降低重症监护室院内感染,而有效的手卫生是控制重症监护室院内获得性感染发生的最基础、最有效的方法。

Objective： To investigate the prevention and reduction of nosocomial infection in intensive care unit by analyzing the occurrence of nosocomial infection in intensive care unit. Methods： Select a hospital in tensive care room 426 cases during the month of January 2011 to May 2012, which occurred in the hospital acquired infections of 130 cases of clinical data as the control group; and strengthen the relevant preventive measures after the January 2013 to May 2014 during the case of 393 cases selected, which occurs hospital ac quired infections in 77 cases of clinical data as the observation group, then compare the results of the two groups. Results： The incidence rate of nosocomial infection in the control group was 30.4%, while that of the observation group was 19.5%, and there was significant difference between the two groups （P〈0.05）. Conclusion： It should strengthen the hands hygiene, the five aspects of aseptic operation, disinfection and isola tion, daily monitoring, basic nursing work, to prevent and reduce the ICU nosocomial infection, and effective hand hygiene is control ICU acquired infection occurred in the most basic, and is the most effective method.