重症监护室医院感染危险因素分析及对策

目的分析重症监护室（ICU）发生医院感染的危险因素,探讨预防医院感染发生的相关对策。方法选取本院2010年5月～2012年5月ICU收治的688例患者,对其临床资料进行回顾性分析。结果 ICU医院感染发生率为40.12%,明显高于同期全院感染发生率（P〈0.05）;患者年龄、住院时间、基础疾病及介入操作等均是发生医院感染的危险因素。结论严格执行消毒隔离及无菌操作制度、加强防范意识、合理使用抗生素等措施均可有效减少医院感染的发生。

Analysis and countermeasures on the ICU nosocomial infection risk factor

Objective To analyze the risk factors of ICU nosocomial infection, and discuss the related countermeasure of prevention hospital infection. Methods Six hundred and eighty-eight patients were selected from May 2010 to May 2012 in our hospital ICU, and all the clinical data were retrospectively analyzed. Results The ICU nosocomial infec- tion rate was 40.12%, which was significantly higher than hospital infection rate of the same period （P 〈 0.05）; patient age, hospitalization time, the basic disease and interventional therapy were the risk factors of nosocomial infection. Conclusion Strictly carry out disinfection, isolation and aseptic manipulation, and strengthening the prevention con- sciousness, rationally use antibiotics and other measures can effectively decrease the incidence of hospital infection.