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目的了解重症监护病房(ICU)医院感染发生情况及危险因素。方法采用前瞻性调查方法,对某医院综合性ICU住院患者医院感染情况进行目标性监测,并分析相关因素。结果共调查住院患者612例,发生医院感染45例、65例次,医院感染率为7.35%、例次感染率为10.62%;日感染率为22.37‰、例次日感染率为32.31‰。各种侵入性操作是引发ICU住院患者医院感染的主要危险因素。结论该医院ICU患者医院感染主要危险因素是各种侵入性操作,以减少侵入性操作和加强无菌化管理为重点防控措施。
Objective To understand the incidence and risk factors of Nosocomial Infection in Intensive Care Unit (ICU). Methods A prospective investigation was conducted to systematically monitor the hospital infection status of inpatients with ICU in a hospital and analyze the related factors. Results A total of 612 hospitalized patients were investigated. 45 cases were hospitalized, 65 cases were hospitalized, the hospital infection rate was 7.35%, the case-infection rate was 10.62%, the daily infection rate was 22.37%, the case-date infection rate was 32.31%. Various invasive procedures are the major risk factors for hospital-acquired nosocomial infections in ICU. Conclusion The main risk factors of nosocomial infection in ICU patients in this hospital are various invasive procedures, which are focused on the prevention and control measures of reducing invasive operation and enhancing the management of aseptic.