| 2009-2010年上海市65所医院ICU导管相关性感染目标性监测分析 |
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| 引用本文： | 周晴,胡必杰,高晓东,崔扬文,沈燕. 2009-2010年上海市65所医院ICU导管相关性感染目标性监测分析[J]. 中华医院感染学杂志, 2011, 21(12): 2408-2410 |
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| 作者姓名： | 周晴 胡必杰 高晓东 崔扬文 沈燕 |
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| 作者单位： | 复旦大学附属中山医院呼吸科,上海,200023 |
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| 摘 要： | 目的分析2009-2010年上海市65所医院ICU导管相关性感染目标性监测数据,了解ICU导管相关性感染现状、分析发展趋势,为干预措施的制定提供参考。方法医院感染专职人员根据目标性监测要求对于每例研究期间入住ICU>48 h患者进行监测,计算导管使用率及导管相关性感染发病率。结果共纳入159 677例患者,ICU床日数为876 401d,呼吸机的平均使用率为27.1%,呼吸机相关性肺炎(VAP)的发病率为16.3‰;中心静脉导管的平均使用率为39.3%、中心静脉导管相关性血流感染(CRBSI)的发病率为2.3‰;导尿管的平均使用率为51.8%、导尿管相关性尿路感染(CAUTI)的发病率为4.0‰。结论中心静脉导管及导尿管的使用率和导管相关性感染率与NHSN数据比较相仿,呼吸机的使用率略低于NHSN公布的数据,但VAP的发病率却远高于NHSN的数据,需重点加强预防VAP干预措施的制定。
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| 关 键 词： | 重症监护病房 目标性监测 呼吸机相关性肺炎 导管相关性感染 |
Targeted surveillance of catheter-related infections in ICU of 65 hospitals in Shanghai during 2009-2010 |
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| ZHOU Qing,HU Bi-jie,GAO Xiao-dong,CUI Yang-wei,SHEN Yan. Targeted surveillance of catheter-related infections in ICU of 65 hospitals in Shanghai during 2009-2010[J]. Chinese Journal of Nosocomiology, 2011, 21(12): 2408-2410 |
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| Authors: | ZHOU Qing HU Bi-jie GAO Xiao-dong CUI Yang-wei SHEN Yan |
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| Affiliation: | ZHOU Qing,HU Bi-jie,GAO Xiao-dong,CUI Yang-wei,SHEN Yan(Zhongshan Hospital,Fudan University,Shanghai 200023,China) |
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| Abstract: | OBJECTIVE To analyze targeted surveillance data of catheter-related infection in ICU of 65 hospitals in Shanghai during 2009-2010,to analyze the developing trend,to provide reference for constituting the intervention measures.METHODS Infection prevention was conducted prospective surveillance for each ICU patient who stayed more than 48h in ICU during the study period to calculate rates of catheter-associated infection and device-utilization rates.RESULTS There were a total of 159,677 cases of patients,ICU ... |
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| Keywords: | ICU Targeted surveillance VAP Catheter-related infection |
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