中国危重病急救医学
中國危重病急救醫學
중국위중병급구의학
CHINESE CRITICAL CARE MEDICINE
2011年
11期
681-684
,共4页
王少利%安卫红%李宏亮%袁晓宁%朱曦%杨雪松
王少利%安衛紅%李宏亮%袁曉寧%硃晞%楊雪鬆
왕소리%안위홍%리굉량%원효저%주희%양설송
医院感染%监测%住院患者%器械相关感染
醫院感染%鑑測%住院患者%器械相關感染
의원감염%감측%주원환자%기계상관감염
Hospital infection%Surveillance%Hospital inpatient%Device-associated infection
目的 了解北京市某三级甲等(三甲)医院综合重症监护病房(ICU)患者器械相关感染的现状及特点.方法 采用连续病例监测的方法,对北京市某三甲医院ICU2008年1月至2010年12月所有住院患者器械使用情况的监测数据进行分析.结果该院ICU住院患者共2 279例,住院日15 332 d,发生医院感染283例、376例次,感染率为12.42％,感染例次率为16.50％,千日感染率为24.52‰；呼吸机、中心静脉导管以及导尿管的留置率分别为56.76％、59.01％及80.07％；呼吸机相关性肺炎、中心静脉相关性血行感染及尿管相关性泌尿道感染的发生率分别为16.32‰、4.09‰及3.50‰；3种器械相关感染所涉及的病原菌主要为鲍曼不动杆菌、铜绿假单胞菌、金黄色葡萄球菌、大肠埃希菌、肺炎克雷伯菌和白假丝酵母菌等.结论 北京市某三甲医院综合ICU患者各器械相关感染率与我国及其他发展中国家相似,但明显高于美国医院；预防和控制器械相关感染需要医师、护士、患者、管理人员等多方人员的共同努力.
目的 瞭解北京市某三級甲等(三甲)醫院綜閤重癥鑑護病房(ICU)患者器械相關感染的現狀及特點.方法 採用連續病例鑑測的方法,對北京市某三甲醫院ICU2008年1月至2010年12月所有住院患者器械使用情況的鑑測數據進行分析.結果該院ICU住院患者共2 279例,住院日15 332 d,髮生醫院感染283例、376例次,感染率為12.42％,感染例次率為16.50％,韆日感染率為24.52‰；呼吸機、中心靜脈導管以及導尿管的留置率分彆為56.76％、59.01％及80.07％；呼吸機相關性肺炎、中心靜脈相關性血行感染及尿管相關性泌尿道感染的髮生率分彆為16.32‰、4.09‰及3.50‰；3種器械相關感染所涉及的病原菌主要為鮑曼不動桿菌、銅綠假單胞菌、金黃色葡萄毬菌、大腸埃希菌、肺炎剋雷伯菌和白假絲酵母菌等.結論 北京市某三甲醫院綜閤ICU患者各器械相關感染率與我國及其他髮展中國傢相似,但明顯高于美國醫院；預防和控製器械相關感染需要醫師、護士、患者、管理人員等多方人員的共同努力.
목적 료해북경시모삼급갑등(삼갑)의원종합중증감호병방(ICU)환자기계상관감염적현상급특점.방법 채용련속병례감측적방법,대북경시모삼갑의원ICU2008년1월지2010년12월소유주원환자기계사용정황적감측수거진행분석.결과해원ICU주원환자공2 279례,주원일15 332 d,발생의원감염283례、376례차,감염솔위12.42％,감염례차솔위16.50％,천일감염솔위24.52‰；호흡궤、중심정맥도관이급도뇨관적류치솔분별위56.76％、59.01％급80.07％；호흡궤상관성폐염、중심정맥상관성혈행감염급뇨관상관성비뇨도감염적발생솔분별위16.32‰、4.09‰급3.50‰；3충기계상관감염소섭급적병원균주요위포만불동간균、동록가단포균、금황색포도구균、대장애희균、폐염극뢰백균화백가사효모균등.결론 북경시모삼갑의원종합ICU환자각기계상관감염솔여아국급기타발전중국가상사,단명현고우미국의원；예방화공제기계상관감염수요의사、호사、환자、관리인원등다방인원적공동노력.
Objective To understand the situation of the device-associated infection (DAI) in the medical-surgical intensive care unit (ICU) inpatients in an A-level tertiary class hospital in Beijing.Methods DAI date were collected through a surveillance on the medical-surgical ICU inpatients in an A-level tertiary class hospital in Beijing from January 2008 to December 2010.Results In 2 279 patients admitted to the medical-surgical ICU (with a 15 332 days total hospitalization stay),283 were found infected.The incidence for in-hospital infection was 12.42％,and 24.52％ for the incidence per patient-day.The device utilization ratios for ventilator,central venous catheter and urinary catheter were 56.76％,59.01％ and 80.07％ respectively while the incidence for ventilator-associated pneumonia (VAP),central line-associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) were 16.32‰,4.09‰ and 3.50‰ respectively.The predominant bacteria species found in these cases were Gram-negatives and the main stay of pathogenic species were A.baumannii,P.aeruginosa,Staphylococcus,E.coli,K.pneumoniae and C.albicans etc.Conclusion The incidence of DAI in the surveyed hospital is dose to other hospitals in China and other developing countries but higher than hospitals in United States.More efforts should be made for its prevention/control by hospital stuff,with the cooperation from the patients.
