ICU医院感染危险因素分析及对策

目的分析ICU患者医院感染危险因素,以制订有效的预防控制措施。方法对2010年7月至2011年6月入住ICU的282例患者进行目标性监测,调查分析相关危险因素,对数据进行统计分析。结果医院感染率为10.99%,例次感染率为12.06%,感染部位依次为呼吸道、手术切口、泌尿道、皮肤软组织等;感染的主要病原菌为肺炎克雷伯菌、铜绿假单胞菌、大肠埃希菌等。结论 ICU患者是医院感染的易感人群,对症治疗原发病、合理使用抗菌药物、减少住院时间、严格无菌操作是预防与降低ICU患者发生医院感染的主要措施。

Risk Factors Analysis and Countermeasures for Nosocomial Infection in Intensive Care Unit

Objective To analyze infection hazards in the ICU sufferer,to establish effective prevention and control measures.Methods Object monitoring was carried on 282 ICU patients admitted during July 2010 to June 2011 related risk factors were investigated and analyzed,statistical analysis was done.Results Hospital infection was 10.99%.The case/time infection rate was 12.06%.Infection part in order were respiratory tract,surgical incisions,urinary tract,skin and soft tissue;The main pathogens of infection were Klebsiella pneumoniae,Pseudomonas aeruginosa,and Escherichia coli.Conclusion ICU patients are susceptible population of nosocomial infection;symptomatic treatment of the primary disease,rational use of antibiotics,reducing hospitalization time,and strict aseptic operation are is the main measures of prevention and reducing nosocomial infection of ICU patients.