综合重症监护病房导管相关感染目标性监测分析
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娄玉英

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R181.3+2

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Targeted monitoring on catheterassociated infection in general intensive care unit
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    摘要:

    目的监测重症监护病房(ICU)患者导管相关感染发病情况,为采取相关预防与控制措施提供依据。方法采用目标性监测方法,调查某三级综合医院2012年1月—2013年12月入住综合ICU且使用了导尿管、血管导管,以及气管插管使用呼吸机的患者医院感染发病情况。结果共调查综合ICU导管置管住院患者299例,总住院日数为2 700 d,发生医院感染41例、48例次,医院感染发病率为13.71%、例次发病率为16.05%,日感染发病率为15.19‰;其中发生导管相关感染者37例、44例次;其他医院感染分别为血流感染、皮肤软组织感染、抗菌药物相关性腹泻及带状疱疹各1例。导尿管相关泌尿道感染(CAUTI)发病率为2.94‰,血管导管相关血流感染(CRBSI)发病率为2.12‰,呼吸机相关肺炎(VAP)发病率为15.72‰。结论导管相关感染是ICU内导管置管患者医院感染的主要类型,且主要以VAP为主。

    Abstract:

    ObjectiveTo monitor the incidence of catheterassociated infection (CAI) in patients in general intensive care unit (ICU), and provide basis for taking proper prevention and control measures.MethodsTargeted monitoring method was conducted, incidence of  healthcareassociated infection (HAI)  among patients receiving urinary catheterization, intravascular catheterization, and tracheal intubation in the general ICU of a tertiary hospital between January 2012 and December  2013 were surveyed.ResultsA total of 299 ICU patients with catheterization were investigated,  the overall hospitalization days were 2 700 days, 41 patients developed 48 episodes of HAI, incidence of  HAI was  13.71%,  case incidence was 16.05%, incidence of  HAI per 1 000 catheter days was 15.19‰,  37 patients developed 44 episodes of CAI;the other types of HAI were blood stream infection(n=1), skin and soft tissue infection(n=1), antibioticassociated diarrhea(n=1),  and herpes zoster(n=1). Incidence of catheterassociated urinary tract infection (CAUTI), catheterrelated bloodstream infection (CRBSI),and ventilatorassociated pneumonia (VAP) per 1 000 catheter days were 2.94‰,2.12‰,and 15.72‰ respectively.ConclusionCAI is the main HAI type in ICU patients with  catheterization, and the major is VAP.

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娄玉英,徐赟洁.综合重症监护病房导管相关感染目标性监测分析[J]. 中国感染控制杂志,2016,15(6):420-421. DOI:10.3969/j. issn.1671-9638.2016.06.014.
LOU Yuying, XU Yunjie. Targeted monitoring on catheterassociated infection in general intensive care unit[J]. Chin J Infect Control, 2016,15(6):420-421. DOI:10.3969/j. issn.1671-9638.2016.06.014.

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  • 收稿日期:2015-09-10
  • 最后修改日期:2015-12-23
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  • 在线发布日期: 2016-06-30
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