CAJ | 학술논문

目的：了解重症监护室（ICU）医院获得性泌尿道感染及病原菌情况，为预防和控制 ICU 患者泌尿道医院感染提供科学依据。方法对2013年32所医院 ICU 泌尿道医院感染目标监测资料进行分析。结果共监测ICU 住院患者23680例，发生医院获得性泌尿道感染157例，医院获得性泌尿道感染率为0．66％；导尿管使用率为80．83％，导尿管相关泌尿道感染发病率为1．25‰。共检出菌株162株，其中真菌66株，占40．74％；革兰阴性（G－）菌51株，占31．48％；革兰阳性（G＋）菌45株，占27．78％。结论ICU 医院获得性泌尿道感染病原菌以真菌为主，医院应尽早采取综合干预措施，控制 ICU 医院获得性泌尿道感染。
목적：료해중증감호실（ICU）의원획득성비뇨도감염급병원균정황，위예방화공제 ICU 환자비뇨도의원감염제공과학의거。방법대2013년32소의원 ICU 비뇨도의원감염목표감측자료진행분석。결과공감측ICU 주원환자23680례，발생의원획득성비뇨도감염157례，의원획득성비뇨도감염솔위0．66％；도뇨관사용솔위80．83％，도뇨관상관비뇨도감염발병솔위1．25‰。공검출균주162주，기중진균66주，점40．74％；혁란음성（G－）균51주，점31．48％；혁란양성（G＋）균45주，점27．78％。결론ICU 의원획득성비뇨도감염병원균이진균위주，의원응진조채취종합간예조시，공제 ICU 의원획득성비뇨도감염。
Objective To understand healthcare-associated urinary tract infection (HA-UTI)and pathogens causing HA-UTI in intensive care unit (ICU)patients,so as to provide scientific basis for the prevention and control of HA-UTI. Methods Targeted surveillance data about HA-UTI in 32 hospitals in 2013 were analyzed.Results A total of 23 680 ICU patients were monitored,157 cases of HA-UTI occurred,HA-UTI rate was 0.66%;the usage rate of urinary tract cathe-ter was 80.83%,catheter-associated UTI was 1.25‰.A total of 162 pathogenic strains were detected,the percentage of fungi,gram-negative bacteria,and gram-positive bacteria was 40.74% (n=66);31.48 % (n=51),and 27.78% (n=45)respectively.Conclusion The main pathogens causing HAI-URI are fungi,comprehensive intervention measures should be taken to control HA-UTI in ICU patients.