CAJ | 학술논문

目的：探讨重症监护病房(ICU)院内感染的发病情况。方法：回顾性分析2011年1月-2012年12月笔者所在医院ICU收治的480例患者的临床资料，探讨院内感染的易感部位、易感因素等，以及相关危险度分析。结果：98人次(62例)获得院内感染，占20.4%，感染主要包括肺炎37例次(37.7%)，泌尿道感染25例次(25.5%)，脓毒症15例次(15.3%)，手术切口14例次(14.3%)和其他7例次(7.2%)；发生院内感染的患者平均住院19.3 d，耐药菌感染的患者平均住院20.2 d。感染患者的死亡率为40.0%[RR：4.4，95%CI(3.4，5.6)]。结论：院内感染与来自其他科室或急诊科，住院日超过4 d，社区感染，耐药菌感染，应用侵袭性装置和死亡率等因素有关。
목적：탐토중증감호병방(ICU)원내감염적발병정황。방법：회고성분석2011년1월-2012년12월필자소재의원ICU수치적480례환자적림상자료，탐토원내감염적역감부위、역감인소등，이급상관위험도분석。결과：98인차(62례)획득원내감염，점20.4%，감염주요포괄폐염37례차(37.7%)，비뇨도감염25례차(25.5%)，농독증15례차(15.3%)，수술절구14례차(14.3%)화기타7례차(7.2%)；발생원내감염적환자평균주원19.3 d，내약균감염적환자평균주원20.2 d。감염환자적사망솔위40.0%[RR：4.4，95%CI(3.4，5.6)]。결론：원내감염여래자기타과실혹급진과，주원일초과4 d，사구감염，내약균감염，응용침습성장치화사망솔등인소유관。
Objective:To investigate the situation of nosocomial infection in intensive care unit(ICU).Method:The clinical data of 480 patients admitted in an ICU of our hospital from January 2011 to December 2012 were analyzed retrospectively.The predisposing infection area and susceptible factors of the nosocomial infection were investigated,and Fisher’s test and Relative Risk(RR).Result:There were 98 person tims(n=62,20.4%) got the nosocomial infection.The infections were in the pneumonia(n=37,37.7%),urinary tract infection(n=25,25.5%),sepsis(n=15,15.3%),surgical site(n=14,14.3%)and others(n=7,7.2%).Hospitalization average was 19.3 days for patients with NI and 20.2 days for those with colonization by resistant microorganisms.The mortality was 40.0% among patients with nosocomial infection[RR:4.4,95%CI(3.4,5.6)].Conclusion: Nosocomial infection and from other departments or the emergency department,more than 4 days of hospitalization,community infection,colonized by resistant microorganisms, using invasive procedures and deaths resulting from nosocomial infection.