ICU医院感染目标性监测分析与预防措施
发布时间：2018-07-31 14:03
【摘要】：目的通过对ICU医院感染目标性监测,了解ICU患者导管相关性感染的发病率、危险因素及病原菌分布特征,为制定医院感染预防和控制措施提供依据。方法采用目标性监测方法对2012年1-12月入住ICU的患者进行导管相关性感染的监测,包括使用呼吸机、中心静脉插管和泌尿道插管的使用率及呼吸机相关性肺炎、中心静脉插管相关性血流感染及泌尿道插管相关性尿路感染的感染率进行监测;对存在的问题采取综合控制措施并进行持续质量改进,按卫生部2001年颁发的《医院感染诊断标准》进行诊断。结果目标性监测928例患者,发生医院感染112例,感染率12.07%,日感染率为10.64‰,呼吸机相关性肺炎日感染率为14.28‰,尿管相关性尿路感染的日感染率为1.56‰,导管相关性血流感染的日感染率为1.13‰;医院感染部位以肺部感染为主,医院感染病原菌以革兰阴性菌为主,居前3位的病原菌依次为肺炎克雷伯菌、鲍氏不动杆菌和铜绿假单胞菌。结论采用目标性监测方法,便于及时掌握ICU患者医院感染发生的动态变化,为降低医院感染发生率进行有针对性的干预提供了可靠的依据。
[Abstract]:Objective to investigate the incidence, risk factors and pathogenic bacteria distribution of ICU nosocomial infection (Nosocomial infection) in order to provide evidence for the prevention and control of nosocomial infection. Methods the patients admitted to ICU from January to December 2012 were monitored for catheter-related infection, including the use of ventilator, central vein intubation and urinary tract intubation, and ventilator-associated pneumonia. The infection rate of central venous catheterization associated with blood stream infection and urinary tract infection was monitored. According to the Ministry of Health issued in 2001 the nosocomial infection diagnosis criteria. Results among 928 patients, 112 cases had nosocomial infection, the infection rate was 12.07 鈥，
本文编号：2155815
[Abstract]:Objective to investigate the incidence, risk factors and pathogenic bacteria distribution of ICU nosocomial infection (Nosocomial infection) in order to provide evidence for the prevention and control of nosocomial infection. Methods the patients admitted to ICU from January to December 2012 were monitored for catheter-related infection, including the use of ventilator, central vein intubation and urinary tract intubation, and ventilator-associated pneumonia. The infection rate of central venous catheterization associated with blood stream infection and urinary tract infection was monitored. According to the Ministry of Health issued in 2001 the nosocomial infection diagnosis criteria. Results among 928 patients, 112 cases had nosocomial infection, the infection rate was 12.07 鈥，
本文编号：2155815
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