论文部分内容阅读
目的:分析研究医院综合性ICU医院感染现状和影响因素,为有效控制综合性ICU医院感染提供有力的依据。方法:对我院在2015年1月到2016年1月所收治的综合性ICU患者出现医院感染情况进行分析,总结感染现状和影响因素。结果:在所选取的200例综合性ICU住院患者中出现医院感染病例60例,医院感染发生几率为30.0%,其中患者日感染率为25.0%;感染患者疾病严重程度评分为4.38分;患者出现医院感染的主要因素为应用呼吸机、留置尿管以及动静脉插管,患者感染部位主要为下呼吸道,病原菌主要为革兰阴性杆菌感染,之后为革兰阳性球菌感染;存在侵入性操作患者和不接受侵入性操作患者出现感染几率对比存在统计学差异(P<0.05)。结论:医院ICU属于医院感染监控的主要科室,对于医院ICU感染加以控制属于目前医院管理工作中的重点,ICU科室的技术水平直接影响到医院的整体救治能力,属于现代化医院的主要标志,针对医院综合性ICU患者出现医院感染几率比较高,需要提高对感染的监管力度,继而减少医院感染的发生。
Objective: To analyze and study the current status and influencing factors of nosocomial infection in ICU in hospitals and provide a strong evidence for effective control of ICU nosocomial infections. Methods: The incidence of nosocomial infections in ICU patients admitted to our hospital from January 2015 to January 2016 was analyzed, and the current status and influencing factors of infection were summarized. Results: Sixty hospital cases of nosocomial infections were found in 200 ICU patients selected, the incidence of nosocomial infections was 30.0%, of which the prevalence was 25.0%. The severity of disease was 4.38 in infected patients. The patients appeared The main factors of nosocomial infection were ventilator, indwelling catheter and arteriovenous catheter. The patients were mainly infected with lower respiratory tract. The main pathogens were gram-negative bacilli, followed by Gram-positive cocci. There were invasive operation patients and There was a statistically significant difference in the odds of infection among patients who did not undergo invasive procedure (P <0.05). Conclusion: The hospital ICU belongs to the main department of hospital infection control. For the control of hospital ICU infection, it belongs to the current hospital management. The technical level of ICU department directly affects the hospital’s overall medical treatment ability. It belongs to the main symbol of modern hospital. The incidence of nosocomial infections in patients with integrated ICU is relatively high, need to improve the supervision of the infection, thereby reducing the incidence of nosocomial infections.