CAJ | 학술논문

目的：分析重症监护病房患者院内感染的危险因素并制定相关干预措施。方法对2012年1月至2012年12月我院重症监护病房(ICU 重症监护病房、外科 ICU、呼吸重症监护病房、冠心监护病房)院内感染的危险因素进行调查，回顾性分析相应病例的临床资料．结果305例院内感染患者，以上呼吸道感染最常见，占50.16%，其次依次为泌尿道、胃肠道、血液、皮肤及其他感染。Logistic 回归分析得出影响重症监护室院内感染的危险因素为：年龄、不合理使用抗生素、有创性操作，糖尿病，住院时间。结论合理使用抗生素，减少有创操作，同时积极治疗基础疾病，加强基础护理可减少院内感染的发生，降低患者死亡率。
목적：분석중증감호병방환자원내감염적위험인소병제정상관간예조시。방법대2012년1월지2012년12월아원중증감호병방(ICU 중증감호병방、외과 ICU、호흡중증감호병방、관심감호병방)원내감염적위험인소진행조사，회고성분석상응병례적림상자료．결과305례원내감염환자，이상호흡도감염최상견，점50.16%，기차의차위비뇨도、위장도、혈액、피부급기타감염。Logistic 회귀분석득출영향중증감호실원내감염적위험인소위：년령、불합리사용항생소、유창성조작，당뇨병，주원시간。결론합리사용항생소，감소유창조작，동시적겁치료기출질병，가강기출호리가감소원내감염적발생，강저환자사망솔。
Objective To analyse the risk factors of hospital infection in intensive care patients and make relevant interventions. Methods To conduct the risk factors of nosocomial infection in our hospital intensive care unit (ICU, SICU ,PICU,CCU)from January 2012 to December 2012 and retrospectively analysis the clinical data of corresponding cases. cases.Results To 305 cases nosocomial infection patients, the most common, respiratory tract infections accounted for 50.16%,followed by urinary tract, gastrointestinal tract, blood, skin and other infections. Logistic regression analysis showed that :age, irrational use of antibiotics, invasive operation, diabetes mellitus, longer hospital stays. were the risk factors of nosocomial infection in intensive care unit .Conclusion The rational use of antibiotics, reduce invasive operation, at the same time, actively treat underlying diseases, strengthening basic nursing care can reduce the incidence of nosocomial infection.