CAJ | 학술논문

目的：探讨加强ICU工作人员手卫生对控制ICU院内感染的临床意义。方法将2009年1月至2010年12月入住我院ICU3d以上并且作了院内感染相关检查的患者1374例定为A组。工作人员为患者进行各项操作，按照惯例进行洗手、擦手和手消毒。将2011年1月至2012年12月入住我院ICU3d以上并且作了院内感染相关检查的患者1591例定为B组。工作人员为患者进行各项操作，严格按照消毒技术规范进行洗手和手消毒，并监督落实，科室备好消毒擦手巾和床旁快速手消毒剂。两组患者在性别、年龄、病情严重程度、疾病种类和侵入性操作等多方面均无显著差异，具有可比性。对两组患者进行院内感染发生数、院内感染的病原体种类和住院时间进行比较。结果B组院内感染的发生率为7.5%，明显低于A组的12.6%；B组院内感染的病原菌种类为7种，明显少于A组的15种；B组患者在ICU的平均住院时间明显短于A组。两组三者比较均具有显著差异性（P<0.05）。结论加强ICU工作人员手卫生，能显著减少ICU患者院内感染的发生，减少病原菌种类，缩短患者的住院时间，值得临床重视并推广应用。
목적：탐토가강ICU공작인원수위생대공제ICU원내감염적림상의의。방법장2009년1월지2010년12월입주아원ICU3d이상병차작료원내감염상관검사적환자1374례정위A조。공작인원위환자진행각항조작，안조관례진행세수、찰수화수소독。장2011년1월지2012년12월입주아원ICU3d이상병차작료원내감염상관검사적환자1591례정위B조。공작인원위환자진행각항조작，엄격안조소독기술규범진행세수화수소독，병감독락실，과실비호소독찰수건화상방쾌속수소독제。량조환자재성별、년령、병정엄중정도、질병충류화침입성조작등다방면균무현저차이，구유가비성。대량조환자진행원내감염발생수、원내감염적병원체충류화주원시간진행비교。결과B조원내감염적발생솔위7.5%，명현저우A조적12.6%；B조원내감염적병원균충류위7충，명현소우A조적15충；B조환자재ICU적평균주원시간명현단우A조。량조삼자비교균구유현저차이성（P<0.05）。결론가강ICU공작인원수위생，능현저감소ICU환자원내감염적발생，감소병원균충류，축단환자적주원시간，치득림상중시병추엄응용。
Objective?To?study?the?relationship?between?the?implementation?of?the?hospital?staff’s?hand?hygiene?and?the?ICU?nosocomial?infection.?Method?Group?A?was?the?1374?patients?who?were?examined?items?related?to?nosocomial?infection?and?stayed?in?ICU?for?more?than?three?days?from?Jan.2009?to?Dec.2010?ICU?staffs?nursed?them?with?their?own?habits?of?washing?hands?and?hands?disinfection.?Group?B?was?the?1591?patients?who?were?examined?items?related?to?nosocomial?infection?and?stayed?in?ICU?for?more?than?three?days?from?Jan.?2011?to?Dec.2012?ICU?staffs?nursed?them?under?supervision?to?wash?and?sterilized their hands strictly. ICU were supplied with bedside sterilized paper towel and rapid hand-disinfectant. There were no signiifcant differences in age, sex,?patient’s?conditions,?sorts?of?diseases?and?invasive?procedures.?The?incidence?of?cosocomial?infection,?the?nosocomial?infection?pathogenic?strains?and?the?length?of?hospitalization?were?compared?between?group?A?and?B.?Result?The?incidence?of?cosocomial?infection?in?group?B?was?7.5%?and?lower?than?that?in?group?A(12.6%),?the?nosocomial?infection?pathogenic?strains?was?8?and?less?than?that?in?group?A(14),?the?mean?length?of?hospitalization?in?ICU?of?group?B?and?shorter?than?that?in?group?A,?which?all?had?statistically?difference(P<0.05).Conclusion?Implement?of?ICU?staff’s?hands?hygiene?could?effectively?control?the incidence of nosocomial infection in ICU, reduced the strains of nosocomial infection and shortened the length of hospitalization signiifcantly, so it is worthy?of?wide?use?clinically.