开放型EICU医院感染及其危险因素调查

目的了解急诊重症监护病房(EICU)医院感染情况及其危险因素,以加强医院感染防控措施。方法采取回顾性调查方法,对该医院EICU 2009-2010年收治的住院患者医院感染现状进行了调查。结果在2年内该医院EICU共收治住院患者469例,发生院内获得性感染患者48例、65例次,医院感染率为10.2%、例次感染率为13.9%。医院感染高发部位为下呼吸道和泌尿道,感染构成比分别为55.4%和16.9%。患者的严重基础病,机械通气、血管插管留置和尿管留置等侵入性操作构成医院感染危险因素。结论该医院EICU住院患者医院感染发生率较高,危险因素明确,应有针对性地加强防控措施。

NOSOCOMIAL INFECTION STATUS AND RISK FACTORS IN OPEN EMERGENCY INTENSIVE CARE UNIT

Objective To know the nosocomial infection situation and risk factors in the open Emergency Intensive Care Unit(EICU) and to enhance the prevention and control measures of nosocomial infection.Methods Retrospective investigation was used to survey the nosocomial infection situation of inpatients received by EICU of our hospital from 2009 to 2010.Results 469 inpatients were received by the EICU in the two years,48 inpatients and 65 times had nosocomial infection.The incidence of nosocomial infection was 10.2% and the time infection rate was 13.9%.The high incidence positions were lower respiratory tract and urinary tract,which counting for 55.4% and 16.9% respectively.Serious basic disease,mechanical ventilation,vascular and urinary catheter indwelling etc.invasive operation were the risk factors of nosocomial infection.Conclusion The incidence of nosocomial infection in Ningbo NO.1 hospital EICU was relatively high and the risk factors of nosocomial infection were clear,so prevention and control measures should be taken according to them.