加强重症医学科管理控制医院感染

摘要

目的：探讨重症医学科(ICU)医院感染特点及防控措施.方法：对2010年1月-2012年6月本院ICU的685例患者临床资料回顾性调查.结果：685例ICU住院患者中发生医院感染159例，感染率为23.21%.ICU为危重患者集中治疗和抢救的地方，医院感染因素与频繁的侵入性操作、基础疾病严重、医务人员在抢救工作中无菌观念不强、抗菌药物使用不合理及工作人员对医院感染意识不强等有关.结论：加强ICU的科学管理，针对不同的危险因素采取相应的预防和控制措施，加强各个环节的管理，做好消毒隔离工作，最大限度地控制医院感染的发生率，保证临床医疗护理质量.%[Abstaract] Objective:To explore the characteristics and control measures of hospital infection in intensive care unit(ICU). Method:The clinical retrospective survey was conducted in 685 patients in ICU of our hospital from January 2010 to June 2012. Result:159 patients occurred infection in 685 patients,the infection rate was 23.21%. ICU was the place that critically ill patients are treated and rescued,factors of nosocomial infection are related to frequent invasive procedures,serious underlying disease,the sterile concept in the rescue work,the irrational use of antimicrobial drugs and staff awarenessless of hospital infection and so on. Conclusion:We should strengthen the scientific management of the ICU,take appropriate preventive and control measures for different risk factors,strength management in all aspects,do a good job of disinfection and isolation,to maximize control the incidence of hospital infection,and to ensure the quality of clinical care.