CAJ | 학술논문

目的：探讨实行医院感染质控小组负责制对重症加强护理病房（ ICU）医院感染发生的影响。方法：采用回顾性分析方法，将本院ICU在2012年1-6月未实施医院感染质控小组负责制与2013年1-6月实施医院感染质控小组负责制后的院感发生情况进行对比。结果：实施医院感染质控小组负责制后ICU呼吸机相关性肺炎（VAP）预防率由干预前的61.11％上升至93.79％（P＜0.01），VAP发生率由干预前的2.46％下降到干预后的1.10％；导管相关血流感染（ CRBSI ）发生率由干预前的5.81‰下降到干预后的1.52‰（ P＜0.05）。结论：实行医院感染质控小组负责制可有效提高ICU医院感染管理质量，降低医院感染的发生率。
목적：탐토실행의원감염질공소조부책제대중증가강호리병방（ ICU）의원감염발생적영향。방법：채용회고성분석방법，장본원ICU재2012년1-6월미실시의원감염질공소조부책제여2013년1-6월실시의원감염질공소조부책제후적원감발생정황진행대비。결과：실시의원감염질공소조부책제후ICU호흡궤상관성폐염（VAP）예방솔유간예전적61.11％상승지93.79％（P＜0.01），VAP발생솔유간예전적2.46％하강도간예후적1.10％；도관상관혈류감염（ CRBSI ）발생솔유간예전적5.81‰하강도간예후적1.52‰（ P＜0.05）。결론：실행의원감염질공소조부책제가유효제고ICU의원감염관리질량，강저의원감염적발생솔。
Objective:To discuss the implementation of quality control group in the intensive care unit ( ICU ) for the influence of hospital infection .Methods:By retrospective analysis method , compared the incidence of hospital infection in January to June 2012 with that in January to June 2013 when the implementation of quality control group in the intensive care unit ( ICU) .Results:After implementation of the responsibility system of quality control group of hospital infection , the prevention rate of ventilator-associated pneumonia ( VAP ) were from 61.1% to 93.8% in the intensive care unit ( ICU ) , the difference was statistically significant (P<0.05); VAP incidence rate were form 2.46% to 1.10% after the intervention, the difference was statistically significant ( P<0.05 );catheter -related bloodstream infections ( CRBSI ) rate were from 5.81‰ to 1.52 ‰ after the intervention , the difference was statistically significant ( P <0.05 ) . Conclusion:Implementation of the responsibility system of quality control group can effectively improve the control quality of hospital infection in the intensive care unit ( ICU ) , reduce the incidence of hospital infections.