重症监护病房导管相关医院感染的目标性监测与分析
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王建聪

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R181.3+2

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Deviceassociated healthcareassociated infection in intensive care unit of a university hospital in China: a descriptive study
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    摘要:

    目的分析某教学医院重症监护病房(ICU)导管相关医院感染及其病原微生物的情况。方法采用前瞻性调查, 对2015年1月1日—11月30日所有入住ICU>48 h的患者进行目标性监测,对侵入性操作相关医院感染病例进行分析,以美国疾病控制与预防中心(CDC)颁布的指南作为诊断依据,标准化模式进行数据收集,并采用描述性研究进行统计分析。结果2015年1—11月共监测254例ICU住院患者。导管相关医院感染(DAHAIs)例次发病率为15.35%,例次日感染发病率为10.23‰。呼吸机相关肺炎(VAP), 导尿管相关尿路感染(CAUTI)及血管导管相关血流感染(CLABSI)发病率分别为7.05‰、4.91‰及3.22‰。ICU医院感染的主要部位为下呼吸道(48.27%), 其次为血液系统(27.59%)、泌尿系统(22.99%)及消化系统(1.15%),常见病原菌为鲍曼不动杆菌,占21.52%。结论该目标性监测系统能有效识别ICU导管相关医院感染的流行病学现状与趋势,并制定有效控制措施,从而确保医疗质量安全。

    Abstract:

    ObjectiveTo identify the occurrence and microorganism profile of deviceassociated healthcareassociated infections (DAHAIs) in the intensive care unit (ICU) of a university hospital in China.MethodsFrom January 1 to November 30, 2015, patients admitted to the ICU of a university hospital in China for more than 48 hours were performed prospective descriptive study. DAHAIs were defined according to the criteria of the Centers for Disease Control and Prevention (CDC) of U.S., descriptive statistical analysis was performed.ResultsOf 254 patients admitted to ICU, the overall incidence of DAHAIs was 15.35%, with 10.23 cases of DAHAIs per 1 000 ICUdays; the incidence of ventilatorassociated pneumonia (VAP), catheterassociated urinary tract infection (CAUTI), and central lineassociated bloodstream infection (CLABSI) were 7.05 per 1 000 ventilatordays, 4.91 per 1 000 urinary catheterdays, and 3.22 per 1 000 central linedays, respectively. The main infection site was lower respiratory tract, accounting for 48.27%, followed by bloodstream system(27.59%), urinary tract(22.99%), and gastrointestinal tract(1.15%). The major isolated microorganism was Acinetobacter baumannii (21.52%).ConclusionThe surveillance system can identify the epidemiological status of DAHAIs and make effective control measures to ensure the healthcare safety.

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王建聪,莫绮君,祁可欣.重症监护病房导管相关医院感染的目标性监测与分析[J]. 中国感染控制杂志,2016,15(12):902-906. DOI:10.3969/j. issn.1671-9638.2016.12.001.
WANG Jiancong, MO Qijun, QI Kexin. Deviceassociated healthcareassociated infection in intensive care unit of a university hospital in China: a descriptive study[J]. Chin J Infect Control, 2016,15(12):902-906. DOI:10.3969/j. issn.1671-9638.2016.12.001.

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  • 收稿日期:2016-01-06
  • 最后修改日期:2016-04-08
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  • 在线发布日期: 2016-12-30
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