综合重症监护病房医院感染调查分析
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Investigation of nosocomial infection in patients in ICU
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    摘要:

    目的 了解综合重症监护病房(ICU)患者医院感染状况,探讨其易感因素和防治措施。方法 以回顾性调查的方法对某院2000年1月1日~2002年12月31日的ICU住院患者临床资料进行统计分析。结果 该院ICU患者医院感染率为19.69%,例次感染率为28.19%。病种感染率以脑出血,脑梗死,大脑撕裂和挫伤为高。感染部位以下呼吸道占首位,为60.32%,其次是血液(菌血症)。感染病原菌仍以革兰阴性菌为主,占67.83%,其中以铜绿假单胞菌(34.78%)为多,其次是真菌(17.39%);革兰阳性菌占14.78%。结论 ICU年度平均医院感染率显著高于普通病房,其医院感染危险因素与患者基础疾病的严重程度及免疫力,是否实施侵入性诊疗操作和消毒灭菌质量等相关。

    Abstract:

    Objective To investigate the nosocomial infection (NI) in patients in ICU, and analyse the risk factors and preventive measures. Methods The clinical data of all patients who were hospitalized between January 1, 2000 and December 31, 2002 were surveyed retrospectively. Results NI in patients in ICU was 19.69%, the case prevalence rate was 28.19%, the infection often occurred in patients with cerebral hemorrhage, cerebral infarction, cerebral laceration and contusion; lower respiratory tract infection was the most common infection (60.32%), the next was bacteremia; Gram-negative bacteria was the main pathogens causing NI (67.83%), most of which was Pseudomonas aeruginosa (34.78%), followed by fungi (17.39%). Conclusion The NI rate of ICU is higher than that of the other departments, the risk factors depend on the severity of underlying diseases, patients immunity status, invasive procedure and the quality of disinfection and sterilization.

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丘美娇.综合重症监护病房医院感染调查分析[J]. 中国感染控制杂志,2004,3(1):22-23,28.
QIU Mei-jiao. Investigation of nosocomial infection in patients in ICU[J]. Chin J Infect Control, 2004,3(1):22-23,28.

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