外科重症监护病房目标性监测结果分析

目的探讨外科重症监护病房(ICU)患者相关导管医院感染情况,并分析其危险因素。方法采用目标性监测方法,对2009年7月至2010年2月所有住院患者相关导管发生医院感染的情况进行调查。结果 121例外科ICU住院患者中,发生医院感染19例,医院感染发生率为15.70%,与使用呼吸机、动静脉插管、留置尿管相关的感染率分别为66.67‰、8.70‰、48.63‰;呼吸机的使用、动静脉插管、泌尿道插管是发生医院感染的重要危险因素(P0.05)。结论外科ICU医院感染发生率较高,与应用各种导管相关,应加强对ICU患者侵入性导管的管理,才能有效降低ICU医院感染的发病率。

Targeted surveillance of nosocomial infections in ICU

Objective To explore the status of catheter related infections in surgical patients of ICU,and to analyze its risk factors.Methods Using targeted monitoring method,the status of catheter related infections in all hospitalized patients from July 2009 to February 2010 was investigated and analyzed.Results Among 121 hospitalized patients in surgical ICU,nosocomial infection occurred in 19 cases with the nosocomial infection rate of 15.70%.The ventilator,arteriovenous intubation,placing a urinary catheter related infections accounted for 66.67‰,8.70‰,48.63‰,respectively.The use of breathing machines,arteriovenous intubation and urinary catheterization were important risk factors（P〈0.05）.Conclusion Surgical ICU has high incidence rate of nosocomial infections,which is related to the application of various catheters in ICU.The management of various invasive catheters should be strengthened to reduce the incidence of nosocomial infection in ICU.