中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
8期
9-10,102
,共3页
ICU%院内感染%危险因素
ICU%院內感染%危險因素
ICU%원내감염%위험인소
ICU%Nosocomial infection%Risk factors
目的：调查ICU院内感染的现状，分析院内感染的相关危险因素，以便于制定出降低ICU院内感染风险的针对性措施。方法对2011年1月-2013年1月间该院ICU收治的患者进行研究，根据患者住院期间有无院内感染发生，分为感染组和对照组，对患者的临床及实验室检查资料进行病例对照分析，研究ICU院内感染的危险因素。结果532例患者中，院内感染发生85例，患病率为15.98%。按照感染部位分类，呼吸道感染所占比例最多。logistic回归结果显示年龄≥45岁、侵入性治疗、ICU住院时间≥20d、使用免疫抑制剂、机械通气时间≥6d可显著提高发生院内感染的风险(P<0.05)。结论院内感染控制工作仍需进一步提高，需根据侵入性治疗、ICU住院时间、使用免疫抑制剂、机械通气时间等危险因素，制定针对性措施，切实降低ICU住院患者发生院内感染的风险。
目的：調查ICU院內感染的現狀，分析院內感染的相關危險因素，以便于製定齣降低ICU院內感染風險的針對性措施。方法對2011年1月-2013年1月間該院ICU收治的患者進行研究，根據患者住院期間有無院內感染髮生，分為感染組和對照組，對患者的臨床及實驗室檢查資料進行病例對照分析，研究ICU院內感染的危險因素。結果532例患者中，院內感染髮生85例，患病率為15.98%。按照感染部位分類，呼吸道感染所佔比例最多。logistic迴歸結果顯示年齡≥45歲、侵入性治療、ICU住院時間≥20d、使用免疫抑製劑、機械通氣時間≥6d可顯著提高髮生院內感染的風險(P<0.05)。結論院內感染控製工作仍需進一步提高，需根據侵入性治療、ICU住院時間、使用免疫抑製劑、機械通氣時間等危險因素，製定針對性措施，切實降低ICU住院患者髮生院內感染的風險。
목적：조사ICU원내감염적현상，분석원내감염적상관위험인소，이편우제정출강저ICU원내감염풍험적침대성조시。방법대2011년1월-2013년1월간해원ICU수치적환자진행연구，근거환자주원기간유무원내감염발생，분위감염조화대조조，대환자적림상급실험실검사자료진행병례대조분석，연구ICU원내감염적위험인소。결과532례환자중，원내감염발생85례，환병솔위15.98%。안조감염부위분류，호흡도감염소점비례최다。logistic회귀결과현시년령≥45세、침입성치료、ICU주원시간≥20d、사용면역억제제、궤계통기시간≥6d가현저제고발생원내감염적풍험(P<0.05)。결론원내감염공제공작잉수진일보제고，수근거침입성치료、ICU주원시간、사용면역억제제、궤계통기시간등위험인소，제정침대성조시，절실강저ICU주원환자발생원내감염적풍험。
Objective To investigate the current status of nosocomial infection in intensive care unit(ICU), and analyze its related risk factors so as to develop targeted measures of reducing the risk of nosocomial infection. Methods The patients admitted in the ICU of our hospital from January, 2011 to January, 2013 were divided into two groups, the infection group and the control group, according to whether they had nosocomial infection during hospitalization. The case-control study was performed to analyze the condition of nosocomial infection and its risk factors based on the clinical and laboratory data of patients. Results In the present study,532 patients were recruited in the ICU of our hospital from January, 2011 to January, 2013. Among them, 85 cases(15.98%) were infected in hospital.The respiratory tract was the most common site of nosocomial infection. The results of the logistic regression analysis showed that Age≥45 years, invasive treatments, hospitalization in ICU ≥ 20 d, using of immunosuppressive agents and mechanical ventilation ≥ 6 d could significantly increase the risk of nosocomial infections (P<0.05).Conclusion The control of nosocomial infection need to be further improved and we should take measures to reduce the risk of getting infected in ICU basing on the situation of invasive treatment, hospitalization in ICU, using of immunosuppressive agents, duration of mechanical ventilation and other risk factors.
