我院ICU导管相关性感染及危险因素分析
发布时间:2018-04-21 13:23
本文选题:重症监护病房 + 导管相关感染 ; 参考:《中国消毒学杂志》2014年11期
【摘要】:目的了解医院重症监护病房(ICU)导管相关性医院感染情况,分析危险因素,提出预防性措施。方法采用目标性监测方法,对某医院ICU住院患者导管相关性医院感染情况进行调查,分析主要影响因素。结果共调查该医院ICU入住患者914例,查出医院感染72例次,例次感染率为7.88%。患者日感染率为24.15‰,经病情严重程度(ASIS)调整后日感染率为5.56‰。3种导管相关性医院感染率分别为呼吸机相关性肺炎(VAP)为42.27‰、留置尿管相关性泌尿道感染(CA-UTI)为1.43‰、中心静脉插管相关性血液感染(CR-BSI)为0.36‰。年龄、机械通气时间、慢性基础病等构成主要危险因素。结论该医院ICU患者导管相关医院感染主要是VAP,提示重点防范措施在于加强消毒隔离和室内空气质量管理。
[Abstract]:Objective to investigate the nosocomial infection associated with ICU catheterization in intensive care unit (ICU), analyze the risk factors and propose preventive measures. Methods objective monitoring method was used to investigate catheter-related nosocomial infection of ICU inpatients in a hospital, and the main influencing factors were analyzed. Results A total of 914 ICU patients were investigated in this hospital. 72 cases of nosocomial infection were found, and the infection rate was 7.88%. The daily infection rate was 24.15 鈥,
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