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目的了解重症医学科(ICU)医院感染的特点,为制定有效的医院感染防控措施提供依据。方法对莆田市第一医院院感实时监控系统中2014—2015年ICU目标性监测的数据进行整理与统计分析。结果 2014—2015年,入住ICU的患者共1 944例,发生医院感染357人,感染率18.4%;2015年中心静脉插管使用率较2014年有所上升,而呼吸机与导尿管使用率有所下降;2年ICU住院病人总日数为13 390日,呼吸机相关肺部感染率27.34‰,中心静脉插管相关血液感染率0.95‰,导尿管插管相关泌尿道感染率1.56‰。结论 ICU医院感染率较高,器械相关感染率较稳定。目标性监测的开展与资料分析可为医院感染管理与防控提供科学依据。
Objective To understand the characteristics of Nosocomial Infection in Critical Care Medicine (ICU) and provide evidence for effective prevention and control of nosocomial infections. Methods The data of ICU target monitoring in 2014-01 2015 hospital real-time monitoring system in Putian City were collected and analyzed. Results A total of 1 944 patients were admitted to the ICU in 2014-2015, and 357 were hospitalized. The infection rate was 18.4%. The rate of central venous cannulation increased in 2015 compared with 2014, while the rate of ventilator and catheterization The total number of inpatients in the ICU was 13 390 days in two years, the rate of lung infection associated with ventilator was 27.34 ‰, the rate of blood infection related to central venous catheterization was 0.95 ‰, and the urinary tract infection rate related to catheterization was 1.56 ‰. Conclusion ICU hospital infection rate is higher, device-related infection rate is more stable. Targeted monitoring and data analysis can provide a scientific basis for the management and prevention and control of nosocomial infections.