论文部分内容阅读
目的 :探讨外科ICU院内感染的危险因素及防治。方法 :总结 36例外科ICU院内感染 ,脑外科病 2 7例 ,胸科及普外病人 9例。下呼吸道感染 2 7例 ,余为泌尿系、消化道、切口感染。铜绿假单胞菌占 6 2 1% ,阴沟肠杆菌占14 7% ,霉菌主要为白色念珠菌。结果 :经治疗痊愈 2 5例 ,死亡 11例 (占 30 5 6 % )。结论 :长期昏迷及胸腹部大手术后 ,患者痰液不能主动排出 ,侵袭性检查及治疗多 ,均会造成院内感染。应积极采取有效防治措施 ,加强感染灶的引流 ,注意无菌操作 ,防止交叉感染 ,合理使用抗生素 ,严格消毒和探视制度 ,完善ICU布局及设施 ,才能更有效地减少和控制外科ICU院内感染的发生。
Objective: To investigate the risk factors and prevention and treatment of nosocomial infections in surgical ICU. Methods: Thirty-six cases of surgical ICU nosocomial infection, 27 cases of brain surgery and 9 cases of thoracic and extra-general diseases were summarized. Lower respiratory tract infection in 27 cases, the remaining urinary tract, digestive tract, incision infection. Pseudomonas aeruginosa accounted for 6 2 1%, Enterobacter cloacae accounted for 14 7%, mold mainly Candida albicans. Results: After treatment, 25 cases were cured and 11 cases died (30 5 6%). Conclusion: Long-term coma and thoracoabdominal major surgery, the patient can not take the initiative to discharge sputum, invasive examination and treatment, will cause nosocomial infection. ICU should actively take effective prevention and treatment measures to strengthen the drainage of infection foci, pay attention to aseptic technique, prevent cross-infection, rational use of antibiotics, strict disinfection and access system, improve ICU layout and facilities in order to more effectively reduce and control surgical ICU nosocomial infections occur.