2013-2014年珠海市某三甲医院ICU医院感染现状调查与分析

Investigation and Analysis of Nosocomial Infection of ICU in a class A tertiary general hospital in Zhu Hai during 2013～2014

目的:了解我院ICU医院感染现状,为制定相关干预措施提供科学依据。方法:采用回顾性调查与分析方法,对我院2013-2014年ICU患者医院感染情况进行统计分析。结果:研究期间共调查ICU患者1 225例,发生医院感染182例,医院感染率为14.86%;ICU病原学标本送检率95.22%;病原菌中革兰氏阴性杆菌、革兰氏阳性球菌及真菌,分别占69.16%、18.22%、12.62%;感染部位中呼吸道、血液、泌尿道,分别占70.43%、11.30%、4.78%。结论:我院ICU医院感染率与同地区、同级别的医院持平,病原学标本送检率符合国家标准,病原菌以革兰氏阴性杆菌为主,感染部位以呼吸道为主。

Objective To explore the causes of nosocomial infections in ICU as to provide scientific evidence for the corresponding intervention measures. Methods The retrospective survey was used to investigate and analyze the incidence of nosocomial infections in ICU from 2013 to 2014. Results The total of 1225 patients investigated, 182 patients suffered from nosocomial infections and the nosocomial infections rate was 14.86%. The etiology of ICU specimen was 95.22%. Gram negative bacilli, Gram positive bacteria and fungi, which accounted for 69.16% ,18.22% and 12.62% respectively. The main infection site were respiratory tract, blood and urinary tract, which aeeounted for 70.43%,11.30% and 4.78% respectively. Conclusion The hospital infection rate of ICU in our hospital is kept the same level of the hospital in the same area. Etiology specimens rate comply with national standards. Main pathogens are gram negative bacilli, and the main site of infection is respiratory.