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目的动态监测ICU医院感染发病率及相关导管感染率,为采取防控措施提供科学依据。方法制订ICU目标性监测方案,对2013年入住ICU超过48h患者进行实时动态监测,监测医院感染率,器械使用率和感染率。结果 2013年共监测541例患者,发生院内感染73例,感染率为13.49%,呼吸机相关性肺部感染率为20.38‰,中心静脉导管相关血液感染率为8.71‰,导尿管相关尿路感染率为2.72‰。结论 ICU目标性监测能及时了解医院感染动态变化及管理的薄弱环节。
Objective To dynamically monitor the incidence of hospital-acquired infections and related catheter infections in ICU and provide a scientific basis for prevention and control measures. Methods ICU targeted monitoring program was developed to monitor real-time dynamic monitoring of patients admitted to ICU for more than 48h in 2013, and to monitor hospital infection rate, equipment utilization rate and infection rate. Results A total of 541 patients were monitored in 2013, with 73 cases of nosocomial infection, the infection rate was 13.49%, the rate of ventilator-associated lung infection was 20.38 ‰, the rate of central venous catheter-related blood infection was 8.71 ‰, and the catheter-related urinary tract The infection rate was 2.72 ‰. Conclusion ICU target monitoring can keep abreast of the dynamic changes of hospital infection and management of the weak links.