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目的了解医院各专科重症监护病房(ICU)医院感染实际状况,为制定有效防控措施提供依据。方法采取前瞻性目标性监测方法,对某综合医院临床专科ICU住院患者医院感染实际发生率进行监测与分析。结果2013年全年该医院各专科ICU和综合ICU共入住重症患者3 841例,发生医院感染111例、147例次,感染率为2.89%、例次感染率为3.83%;日感染率为4.77‰,调整日感染率为1.36‰。患者感染部位以呼吸道感染率最高,构成比为55.78%,其次为泌尿道感染。在各专科ICU中,以神经内科ICU患者医院感染率最高,为11.93%;其次是神经外科ICU,为3.40%;综合ICU感染率为4.75%。不同专科ICU医院感染发生率之间差异有统计学意义(P<0.01)。结论该医院各专科ICU患者医院感染发生率差异明显,应加强对神经内外科和综合ICU医院感染防控措施,调整防控策略和重点。
Objective To understand the actual situation of Nosocomial Infection in Intensive Care Unit (ICU) in hospitals and provide basis for effective prevention and control measures. Methods A prospective and targeted monitoring method was used to monitor and analyze the actual incidence of nosocomial infections in inpatient ICU patients in a general hospital. Results A total of 3 841 critically ill patients were admitted to ICU and ICU in 2013, with 111 cases of hospital infection and 147 cases of hospital infection. The infection rate was 2.89% and the incidence rate was 3.83%. The daily infection rate was 4.77 ‰, adjust the daily infection rate of 1.36 ‰. Infection sites of patients with the highest rate of respiratory infections, the constituent ratio was 55.78%, followed by urinary tract infections. In each specialist ICU, the highest hospital infection rate was 11.93% in neurology ICU patients, followed by neurosurgery ICU was 3.40%, and ICU infection rate was 4.75%. There was a significant difference in the incidence of nosocomial infections among different specialist ICUs (P <0.01). Conclusions The incidence of nosocomial infections in all ICU patients in each hospital is obviously different. The prevention and control measures of nosocomial and surgical ICU and hospital infection should be strengthened, and the prevention and control strategies and priorities should be adjusted.