某三级医院重症医学科医院感染调查分析及控制措施

摘要

Objective To analyze hospital infection morbidity, infection sites and risk factors of intensive care unit, and to formulate comprehensive intervention measures. Method 1209 patients of ICU from 2012 to 2013 were retro-spectively investigated, and the nosocomial rate, infection sites and related factors of nosocomial infection were ana-lyzed. Result There were 114 cases of hospital infection in 2012;the infection rate was 19. 42%. The first three in-fection sites were lower respiratory tract infections, blood infections and urinary tract infections. 46 cases of hospital infection were reported in 2013, and the infection rate was 7. 4%. The first three infection sites were blood infec-tions, lower respiratory tract infections and urinary tract infections. Conclusion High rate of hospital infection in ICU is associated with the following factors:advanced age, check-in time is long, some items of operation, using antimi-crobial drugs, etc. There are useful to decrease hospital infection rate in ICU by taking comprehensive intervention measures that carrying out targeted monitoring, antibacterial drug use management, shorten the patient’ s check-in time and strengthen table disinfection, etc.%目的：分析重症医学科医院感染发病率、感染部位、危险因素，制定综合干预措施。方法对2012~2013年医院重症医学科收治的1209例患者进行医院感染率、感染部位及相关因素统计分析。结果2012年发生医院感染114例次，感染发生例次率19.42%，感染部位以呼吸道、血液、泌尿道感染为主。2013年发生医院感染46例次，感染发生例次率7.4%，感染部位以血液、呼吸道、泌尿道感染为主。结论医院感染发生与患者高龄、入住时间长、有创操作、抗菌药物使用等因素有关。重症监护病房开展目标性监测、抗菌药物使用管理、缩短患者入住时间及加强物表消毒等综合干预措施，能够降低医院感染发病率。