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目的通过对重症医学科的目标性监测资料进行分析,了解其医院感染的特点及发生医院感染的危险因素,探讨有效控制医院感染的措施。方法对入住重症医学科的患者进行目标性监测,用患者平均病情严重程度(av-erage severity of illness score,ASIS)调整法调整医院感染发病率,重点对3种导管留置患者的医院感染发生率进行研究分析。结果监测患者694例,发生医院感染86例,感染率12.39%;感染134例次;尿道插管泌尿系感染率11.68‰,中心静脉插管血流感染率13.15‰,呼吸机相关肺炎感染率57.15‰。结论重症医学科患者是医院感染的高危人群,医院感染以3种导管留置患者为主,目标性监测可针对侵入性诊疗操作患者实施全程管理,重点干预诊疗操作中的医疗行为。
Objective To analyze the characteristics of nosocomial infection and the risk factors of nosocomial infection by analyzing the target monitoring data of critical medical subjects and to explore the measures to effectively control nosocomial infections. Objective To monitor the incidence of nosocomial infections in patients admitted to the department of critical care and to adjust the incidence of nosocomial infections with the method of av-erage severity of illness score (ASIS). The incidence of nosocomial infections Conduct research and analysis. Results Six hundred and ninety-four patients were diagnosed and 86 were hospitalized. The infection rate was 12.39%. The infection rate was 134 cases. The urinary tract infection rate was 11.68%, the rate of central venous catheter infection was 13.15% and the ventilator-associated pneumonia infection rate was 57.15 ‰. Conclusion Severe medical subjects are at high risk of nosocomial infection. Infection of patients with nosocomial infections is dominated by three types of catheter indwelling patients. Targeted monitoring can be used to manage the entire procedure in patients with invasive procedures, with a focus on interventions in medical practice.