中华医院感染学杂志
中華醫院感染學雜誌
중화의원감염학잡지
Chinese Journal of Nosocomiology
2015年
10期
2242-2243,2264
,共3页
目标性监测%重症监护病房%导管相关感染%感染部位
目標性鑑測%重癥鑑護病房%導管相關感染%感染部位
목표성감측%중증감호병방%도관상관감염%감염부위
Targeted surveillance%Intensive care unit%Catheter-related infection%Infection site
目的：了解医院IC U患者发生医院感染的情况，以采取针对性的干预措施控制医院感染的发生。方法根据《医院感染目标性监测规范》，监测2012年2月－2013年2月入住IC U患者的医院感染率、日感染率、3种导管相关感染率、医院感染部位及感染病原菌分布。结果监测的655例患者中发生医院感染78例、82例次，医院感染率11．90％、例次感染率12．52％、日感染率13．84‰、例次日感染率14．55‰；中心静脉置管相关性血流感染率为0．56‰、导尿管插管相关泌尿道感染率为1．15‰、呼吸机相关性肺炎感染率为78．43‰；下呼吸道感染率为80．25％、血流感染率为7．41％、泌尿道感染率3．70％；感染病原菌以肺炎克雷伯菌检出最高，占42．74％。结论IC U的医院感染率较高，导管相关性感染为高风险性因素，应对病房管理采取相应的整改措施，从而减少医院感染的发生。
目的：瞭解醫院IC U患者髮生醫院感染的情況，以採取針對性的榦預措施控製醫院感染的髮生。方法根據《醫院感染目標性鑑測規範》，鑑測2012年2月－2013年2月入住IC U患者的醫院感染率、日感染率、3種導管相關感染率、醫院感染部位及感染病原菌分佈。結果鑑測的655例患者中髮生醫院感染78例、82例次，醫院感染率11．90％、例次感染率12．52％、日感染率13．84‰、例次日感染率14．55‰；中心靜脈置管相關性血流感染率為0．56‰、導尿管插管相關泌尿道感染率為1．15‰、呼吸機相關性肺炎感染率為78．43‰；下呼吸道感染率為80．25％、血流感染率為7．41％、泌尿道感染率3．70％；感染病原菌以肺炎剋雷伯菌檢齣最高，佔42．74％。結論IC U的醫院感染率較高，導管相關性感染為高風險性因素，應對病房管理採取相應的整改措施，從而減少醫院感染的髮生。
목적：료해의원IC U환자발생의원감염적정황，이채취침대성적간예조시공제의원감염적발생。방법근거《의원감염목표성감측규범》，감측2012년2월－2013년2월입주IC U환자적의원감염솔、일감염솔、3충도관상관감염솔、의원감염부위급감염병원균분포。결과감측적655례환자중발생의원감염78례、82례차，의원감염솔11．90％、례차감염솔12．52％、일감염솔13．84‰、례차일감염솔14．55‰；중심정맥치관상관성혈류감염솔위0．56‰、도뇨관삽관상관비뇨도감염솔위1．15‰、호흡궤상관성폐염감염솔위78．43‰；하호흡도감염솔위80．25％、혈류감염솔위7．41％、비뇨도감염솔3．70％；감염병원균이폐염극뢰백균검출최고，점42．74％。결론IC U적의원감염솔교고，도관상관성감염위고풍험성인소，응대병방관리채취상응적정개조시，종이감소의원감염적발생。
OBJECTIVE To understand the prevalence of nosocomial infections in ICU patients and take targeted in‐terventions so as to control the nosocomial infections .METHODS According to the Standards for targeted surveil‐lance of nosocomial infections ,the incidence of nosocomial infections ,daily infection rate ,incidence of three types of catheter‐related infections ,nosocomial infection sites ,and distribution of pathogens in the ICU patients who were hospitalized from Feb 2012 to Feb 2013 were monitored .RESULTS The nosocomial infections occurred in 78 (72 case‐times) of 655 patients with the incidence of nosocomial infections of 11 .90% and the case‐time infection rate of 12 .52% ;the daily infection rate was 13 .84‰ ,and the case‐time daily infection rate was 14 .55‰ ;the inci‐dence of central venous catheter‐related bloodstream infections was 0 .56‰ ,the incidence of urinary catheter‐relat‐ed urinary tract infections was 1 .15‰ ,and the incidence of ventilator‐associated pneumonia was 78 .43‰ .The in‐cidence of lower respiratory tract infections was 80 .25% ,the incidence of bloodstream infections was 7 .41% ,the incidence of urinary tract infections was 3 .70% .The K lebsiella pneumoniae was dominant among the isolated pathogens ,accounting for 42 .74% .CONCLUSION The incidence of nosocomial infections is high in the ICU ,and the catheter‐related infections are the high risk factors .It is necessary to take targeted rectification measures of the ward management so as to reduce the incidence of nosocomial infections .
