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目的:了解某中医院重症监护室医院感染的发生情况,分析危险因素,探讨有效的干预措施。方法:采用目标性监测方法调查2014年6月~2016年5月重症监护室收治的300例患者临床资料,统计医院感染发生情况。结果:发生医院感染91例,感染发生率为30.33%;其中呼吸机使用率、泌尿道插管使用率及中心静脉插管使用率分别为68.76%、61.32%、51.03%;呼吸机相关肺炎发生率为15.62%,导尿管相关泌尿道感染率为12.31%,中心静脉置管相关血液感染率为15.32%。共分离出菌株100株,医院感染居首位的病原菌为鲍曼不动杆菌,占比为31.23%。结论:重症监护室医院感染发生率高,加强感染目标性监测,针对感染危险因素采取有针对性的预防措施,降低医院感染发生。
Objective: To understand the incidence of nosocomial infection in intensive care unit in a Chinese medicine hospital, analyze the risk factors and explore effective interventions. Methods: The target monitoring method was used to investigate the clinical data of 300 patients admitted to the ICU from June 2014 to May 2016, and the incidence of nosocomial infections was calculated. Results: Ninety-one nosocomial infections occurred and the incidence of infection was 30.33%. The ventilator use rate, urinary catheterization rate and central venous catheterization rate were 68.76%, 61.32% and 51.03% respectively. Ventilator-associated pneumonia occurred The rate of urinary tract-related urinary tract infection was 12.31%, and the rate of central blood-vessel-related blood infection was 15.32%. A total of 100 isolates were isolated. Acinetobacter baumannii was the first pathogen in hospital infection, accounting for 31.23%. Conclusion: The incidence of nosocomial infection in intensive care unit is high, and the target surveillance of infection is strengthened. Targeted preventive measures are taken to reduce the risk of nosocomial infection.