ICU医院感染相关因素分析

发布时间：2018-07-06 17:07

  本文选题：重症监护病房 + 医院感染　； 参考：《中华医院感染学杂志》2012年08期

【摘要】：目的探讨重症监护病房(ICU)合并医院感染影响因素及护理对策。方法选择重症监护病房460例患者作为研究对象,以医院感染患者为观察组,按照1∶1比例选择未合并医院感染患者作为对照组,比较两组可能影响医院感染因素差异。结果 460例患者中发生医院感染80例,感染率17.39%,包括呼吸道感染、泌尿系统感染、导管相关性感染,单因素检验结果显示,10个变量是医院感染的相关因素(P0.05),logistic回归分析引起医院感染的危险因素为:年龄大、实施侵入性操作、APACHEⅡ评分高、预防应用抗菌药物,其OR值分别为3.29、3.04、2.94、2.45。结论重症监护病房医院感染发生率较高,是多种因素作用的结果,改善老年患者的自身状况、加强危重患者治疗、合理使用抗菌药物、严格无菌操作,可降低ICU医院感染率。
[Abstract]:Objective to explore the influencing factors and nursing strategies of nosocomial infection in intensive care unit (ICU). Methods A total of 460 patients in intensive care unit were selected as the study object, the patients with nosocomial infection as the observation group and the patients without nosocomial infection as the control group according to the 1:1 ratio. The difference of possible factors affecting nosocomial infection between the two groups was compared. Results Nosocomial infection occurred in 80 of 460 patients, and the infection rate was 17.39, including respiratory tract infection, urinary tract infection, catheter-related infection. The results of univariate analysis showed that 10 variables were the related factors of nosocomial infection (P0.05). The risk factors of nosocomial infection were: age, high score of Apache 鈪，

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