NSICU目标性监测分析
发布时间：2018-08-28 05:55
【摘要】：目的探讨医院神经外科重症监护病房(NSICU)目标性监测,了解NSICU感染现状,为提高NSICU感染管理水平提供科学依据。方法选取2012年1-12月入住NSICU的240例患者作为研究对象,按照2009年国家卫生部颁发的《感染监测规范》对NSICU进行目标性监测;利用医院感染监控管理软件对监测资料进行汇总分析,采用SPSS 13.0软件对监测数据进行统计处理。结果 240例患者共发生感染65例、72例次,感染率为27.1%、例次感染率30.0%;日感染率为17.2‰;NSICU感染部位以下呼吸道感染和泌尿系感染为主,分别占68.1%和19.4%;全年NSICU接受侵入性操作患者共4 456例,其中呼吸机相关性肺炎发病率为70.1‰,导尿管相关泌尿道感染发病率为4.9‰,血管导管相关性血流感染发病率为3.3‰;240例患者送检标本103份,标本送检率42.9%,送检标本以痰液为主,占63.1%;共分离出病原菌81株,其中革兰阳性菌32株,占39.5%,以金黄色葡萄球菌为主,革兰阴性菌43株,占53.1%,以鲍氏不动杆菌为主;真菌6株,占7.4%,以白色假丝酵母菌为主。结论呼吸机相关性肺炎和泌尿插管相关泌尿道感染为NSICU的主要感染方式,主要病原菌为金黄色葡萄球菌和鲍氏不动杆菌,所以NSICU应重点加强对使用呼吸机及泌尿道插管患者的管理和监控,制定有效对策,减少NSICU感染的发生。
[Abstract]:Objective to explore the objective monitoring of (NSICU) in intensive care unit of neurosurgery in hospital, to understand the present situation of NSICU infection and to provide scientific basis for improving the management level of NSICU infection. Methods 240 patients who were admitted to NSICU from January to December 2012 were selected as the research objects, and NSICU was monitored according to the "infection Surveillance Standard" issued by Ministry of Health in 2009, and the monitoring data were collected and analyzed by the software of nosocomial infection monitoring and management. The monitoring data were statistically processed by SPSS 13.0 software. Results among 240 patients, 65 cases (72 times) were infected, the infection rate was 27.1, the infection rate was 30.00.The daily infection rate was 17.2 鈥，
本文编号：2208443
[Abstract]:Objective to explore the objective monitoring of (NSICU) in intensive care unit of neurosurgery in hospital, to understand the present situation of NSICU infection and to provide scientific basis for improving the management level of NSICU infection. Methods 240 patients who were admitted to NSICU from January to December 2012 were selected as the research objects, and NSICU was monitored according to the "infection Surveillance Standard" issued by Ministry of Health in 2009, and the monitoring data were collected and analyzed by the software of nosocomial infection monitoring and management. The monitoring data were statistically processed by SPSS 13.0 software. Results among 240 patients, 65 cases (72 times) were infected, the infection rate was 27.1, the infection rate was 30.00.The daily infection rate was 17.2 鈥，
本文编号：2208443
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