CAJ | 학술논문

目的：分析内科危重监护病房院内感染发生的相关危险因素。方法对入住内科危重监护病房的122例患者进行分析。结果院内感染发生37例，因感染性疾病入住的患者院内感染的发生率较高，其中以老年患者居多，感染部位以下呼吸道、泌尿道、血液常见，致病菌以革兰氏阴性菌为主；院内感染的发生与住院时间、深静脉置管、人工气道机械通气、鼻饲、低蛋白血症等因素有关。结论内科危重监护病房患者院内感染的发生是多因素共同作用的结果，必须给予高度的重视，做好预防性措施，控制和降低感染的发生。
목적：분석내과위중감호병방원내감염발생적상관위험인소。방법대입주내과위중감호병방적122례환자진행분석。결과원내감염발생37례，인감염성질병입주적환자원내감염적발생솔교고，기중이노년환자거다，감염부위이하호흡도、비뇨도、혈액상견，치병균이혁란씨음성균위주；원내감염적발생여주원시간、심정맥치관、인공기도궤계통기、비사、저단백혈증등인소유관。결론내과위중감호병방환자원내감염적발생시다인소공동작용적결과，필수급여고도적중시，주호예방성조시，공제화강저감염적발생。
Objective To analyze the risk factors of nosocomial infection in patients in MICU. Methods The clinical data of 122 patients in MICU were retrospectively analyzed. Results 37 patients developed nosocomial infection during medical ICU stay, and most of them were elderly patients. The common location of infection included lower respiratory tract, urinary tract and blood. The most common pathogens in MICU were gram-positive bacteria. The incidence of infection in medical ICU were related to hospitalization time, deep vein catheterization, mechanical ventilation, nasal feeding, and hypoproteinemia. Conclusion The incidence of infection in MICU is the coupling effect of multi-factors, which should be taken measures for preventing bacterial infection in MICU.