目的：了解ICU住院患者导管多重耐药菌感染现状，增强医护人员对导管感染的防控意识，从而自觉约束医疗行为，降低导管多重耐药菌感染的发生率。方法采用回顾性调查方法，统计该院2010年～2013年ICU开展3种导管目标性监测以来的所有数据，并进行分析。结果自该院ICU开展导管目标性监测以来，总监测2064人次，整个监测过程中实行干预措施，感染人次率从2010年的5.39%降至2013年的3.42%，其中导尿管插管相关泌尿道感染率从2010年的5.95‰降至2013年的2.23‰，中心静脉插管相关血液感染率从6.26‰降至2.56‰，呼吸机相关性肺炎感染率从36.15‰降至17.24‰。结论导管的目标性监测可以准确地获取患者的资料，掌握其动态，及时制定有效的预防措施，降低感染发生率，从而保障患者安全与医疗安全。%Purpose To understand the current situation of multiple drug-resistant bacteria infection of catheter of ICU inpatients, strengthen medical staffs’ prevention and control consciousness of catheter infection, consciously constraint the medical behavior, and reduce the incidence of multiple drug-resistant bacteria infection of catheter.Method The retrospective survey method is used for statistics and analysis of all the data since ICU of the hospital conducted the targeted monitoring of three kinds of catheters from 2010 to 2013.Results Since ICU of the hospital conducted the targeted monitoring, totally 2064 person-time has been monitored. The intervention measures were taken in the whole monitoring process. The person-time rate of infection was reduced from 5.39% in 2010 to 3.42% in 2013. Among them, the infection rate of urinary tract related to the urinary catheter was reduced from 5.95 ‰ in 2010 to 2.23‰ in 2013. The infection rate of blood related to the central venous catheter was reduced from 6.26 ‰ to 2.56 ‰. The infection rate of pneumonia related to the breathing machine was reduced from 36.15‰ to 17.24‰.Conclusion The targeted monitoring of catheter can accurately obtain the patient’s information, know the dynamic, timely make the effective prevention measures, and reduce the incidence of infection, so as to ensure the safety of patients and medical safety.
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