CAJ | 학술논문

对本院重症监护治疗病房(ICU)1997年1月至2008年8月入住48 h以上的4060例患者分别进行医院感染的回顾性调查及目标性监测.结果目标性监测得到医院感染率为30.77%(489/1589),与回顾性调查的医院感染率35.25%(871/2471)比较差异有统计学意义(χ~2=8.6930,P＜0.01),两种监测方法获得的感染例次率比较差异无统计学意义(47.67% 比 45.25%,χ~2=2.2836,P＞0.05).目标性监测后泛耐药不动杆菌的发生率较前增加.ICU实行医院感染目标性监测,使医院感染率明显下降,降低患者住院费用.
대본원중증감호치료병방(ICU)1997년1월지2008년8월입주48 h이상적4060례환자분별진행의원감염적회고성조사급목표성감측.결과 목표성감측득도의원감염솔위30.77%(489/1589),여회고성조사적의원감염솔35.25%(871/2471)비교차이유통계학의의(χ~2=8.6930,P＜0.01),량충감측방법획득적감염례차솔비교차이무통계학의의(47.67% 비 45.25%,χ~2=2.2836,P＞0.05).목표성감측후범내약불동간균적발생솔교전증가.ICU실행의원감염목표성감측,사의원감염솔명현하강,강저환자주원비용.
The data on nosocomial infection of 4060 patients who were stayed in intensive care unit (ICU) more than 48 h from January 1997 to August 2008 were reviewed.From Jan 2004 the target monitoring of hospital-acquired infection was implemented in ICU.The nosocomial infection rates before and after target monitoring were 35.25% (871/2471) and 30.77% (489/1589) respectively (P ＜ 0.01);however there was no significant difference in case infection rate before and after target monitor were practiced (47.67% vs.45.25%,χ~2 = 2.2836,P ＞0.05).The incidence of Acinetobacter infection was increased after target monitoring.Targeted monitoring can decrease the nosocomial infection rate in ICU,and also reduce the cost of medical care.