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目的了解医院ICU患者发生医院感染的情况,以采取针对性的干预措施控制医院感染的发生。方法根据《医院感染目标性监测规范》,监测2012年2月-2013年2月入住ICU患者的医院感染率、日感染率、3种导管相关感染率、医院感染部位及感染病原菌分布。结果监测的655例患者中发生医院感染78例、82例次,医院感染率11.90%、例次感染率12.52%、日感染率13.84‰、例次日感染率14.55‰;中心静脉置管相关性血流感染率为0.56‰、导尿管插管相关泌尿道感染率为1.15‰、呼吸机相关性肺炎感染率为78.43‰;下呼吸道感染率为80.25%、血流感染率为7.41%、泌尿道感染率3.70%;感染病原菌以肺炎克雷伯菌检出最高,占42.74%。结论ICU的医院感染率较高,导管相关性感染为高风险性因素,应对病房管理采取相应的整改措施,从而减少医院感染的发生。
Objective To understand the incidence of nosocomial infections in hospital ICU patients and to take targeted interventions to control the occurrence of nosocomial infections. Methods The hospital infection rate, daily infection rate, three catheter-related infection rates, nosocomial infection sites and the distribution of infectious pathogens were monitored according to the “Objective Infection Monitoring Norms for Hospital Infection” between February 2012 and February 2013. Results Among the 655 patients monitored, 78 were hospital-acquired nosocomial infection in 82 cases, the nosocomial infection rate was 11.90%, the rate of nosocomial infection was 12.52%, the daily nosocomial infection rate was 13.84 ‰, and the nosocomial infection rate was 14.55 ‰. The central venous catheterization The rate of bloodstream infection was 0.56 ‰, urinary tract catheter-related urinary tract infection rate was 1.15 ‰, ventilator-associated pneumonia infection rate was 78.43 ‰, lower respiratory tract infection rate was 80.25%, bloodstream infection rate was 7.41%, urinary Road infection rate 3.70%; Klebsiella pneumoniae pathogenic bacteria detected the highest, accounting for 42.74%. Conclusion ICU has a high nosocomial infection rate and catheter-related infection as a high risk factor. Ward management should take appropriate corrective measures to reduce the incidence of nosocomial infections.