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目的:调查分析重症医学科院内感染病原学现状,为预防ICU院内感染提供基础。方法:选取2014年1月至2015年12月我院ICU收治的患者121例为研究对象,展开ICU医院感染管理目标监测,并建立ICU院内感染日志。且对所有患者的展开下呼吸道和腹腔等部位的体液培养,再对患者展开药敏实验,分析院内的感染情况。结果:121例患者中共有42例患者的发生院内感染,占35.06%。所有感染患者中共有下呼吸道感染患者24例,占57.14%,泌尿系感染次之,为10例,占23.81%,其余感染主要以腹腔感染、血源性感染。通过查阅ICU院内感染日志得到采用适宜的预防措施后,院内感染的发生率明显降低(P<0.05。结论:重症医学科室,具有较高的院内感染发生率,增加患者的心理和经济负担,结合院内感染病原学现状调查分析,采取适宜预防措施,可以有效降低重症医学科医院内感染的发生率。
Objective: To investigate and analyze the status of infectious etiology in the hospital of critical care and provide a basis for prevention of nosocomial infections in ICU. Methods: Totally 121 patients admitted to ICU from January 2014 to December 2015 in our hospital were selected as research objects, and ICU hospital infection management objectives were monitored and ICU nosocomial infection log was established. And for all patients to start lower respiratory tract and abdominal fluid and other parts of the body fluid culture, and then start the drug sensitivity test for patients, analysis of hospital infection. Results: A total of 42 patients in 121 patients had nosocomial infection, accounting for 35.06%. All infected patients had lower respiratory tract infection in 24 patients (57.14%), followed by urinary tract infection, 10 cases, accounting for 23.81%, the remaining infections mainly abdominal infection, blood-borne infections. The incidence of nosocomial infections was significantly reduced by referring to the ICU nosocomial infection log (P <0.05) .Conclusion: Severe medical departments have a higher incidence of nosocomial infections and increase their psychological and financial burden, combined with Hospital infection etiology investigation and analysis of the status quo, take appropriate preventive measures, can effectively reduce the incidence of infection in the intensive care hospital.