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目的调查本院ICU医院感染发生情况,医院感染的易感人群,易感部位,和相关因素。方法采用目标性监测分析对2010年687例出科患者发生73例医院感染例临床资料进行回顾性统计分析。结果 ICU医院感染发生率为10.6%,易感人群是危重,老年人。易感部位是下呼吸道占73%,排名前五位主要病原菌依次为肺炎克雷伯菌,铜绿假单胞菌,大肠埃希菌,肠杆菌属,不动杆菌属。结论下呼吸道感染率最高,针对ICU特有的高危因素和自身薄弱环节,并采取重点部位目标性监测分析,积极有效的综合管理措施,以降低患者医院感染风险。
Objective To investigate the occurrence of nosocomial infection in ICU, the susceptible population of hospital infection, susceptible sites, and related factors. Methods Targeted surveillance analysis was used to retrospectively analyze the clinical data of 73 cases of nosocomial infection in 687 patients in 2010. Results The incidence of nosocomial infection in ICU was 10.6%. The susceptible population was critically ill. Among the susceptible sites, the lower respiratory tract accounted for 73%. The top five pathogens were Klebsiella pneumoniae, Pseudomonas aeruginosa, Escherichia coli, Enterobacter, and Acinetobacter. Conclusion The lower respiratory tract infection rate is the highest, aiming at the ICU-specific high-risk factors and its own weaknesses, and adopting targeted monitoring and analysis of key sites, and active and comprehensive management measures to reduce the risk of nosocomial infection in patients.