重症监护病房医院感染的现状及干预对策

目的调查重症监护病房(ICU)医院感染的现状和危险因素,以制定干预对策。方法采取前瞻性监测与回顾性调查相结合的方法,对198例医院感染病例进行统计分析。结果我院ICU医院感染以下呼吸道为主,占69.4%,危险因素为老年人、住院日长、大量使用抗生素、严重基础疾病和侵入性诊疗技术等。结论ICU医院感染应采取综合性干预对策,切实降低感染率,提高抢救成功率。

Nosocomial Infections in ICU:Current Status and Intervention Strategy

OBJECTIVE The status and risk factors of nosocomial infections in intensive care unit(ICU) were investigated to make the intervention strategy. METHODS Use prospective monitoring and retrospective investigation to analyze the 198 nosocomial infections patients. RESULTS The lower respiratory tract infection was the main infection in ICU,about 69.4%.The risk factors were old ages,long hospitalization time,the use of many antibiotics,severe underlying illness,invasive operation manipulation and so on. CONCLUSIONS General intervention strategy should be adopt in the control of ICU nosocomial infections to low the infection rate and raise the rate of rescue.