综合医院ICU医院感染目标性研究

目的：开展ICU目标性研究,分析医院感染发生状况和原因,为医院感染的防控提供依据。方法：采用目标性监测方法监测2011年1-6月入住ICU的患者医院感染发生情况。结果：目标性监测248例患者,发生医院感染35例,感染率为14.11%,日医院感染率为24.54‰,调整日感染率为9.40‰;呼吸机相关性肺部感染千日发病率为39.66‰,血管内导管相关性血流感染千日发病率为1.46‰,留置尿管相关性泌尿道感染千日发病率为9.07‰。结论：开展ICU医院感染目标性监测,针对危险因素尤其是呼吸机相关性肺炎进行有效干预,可降低ICU的医院感染率。

Integrated ICU Hospital Infection Targeted Research

Objective：To develop target research of nosocomial infection of ICU,analysis status and reasons of nosocomial infection,provide the basis for prevention and control of osocomial infection.Methods： Using the target research method to monitoring nosocomial infection incidence in ICU from January to June 2011.Results：248 cases were selected as the supervision targets,35 patients with nosocomial infection were found out and the incidence of infection casetimes was 14.11%,with daily incidence of 24.54‰,and all adiusted daily incidence of 9.40‰,Ventilator associated lung infection incidence rate was 39.66 per thousand thousand;the rate of catheter-related blood stream infections was 1.46‰;and that of catheter associated urinary tract infections was 9.07‰.Conclusion：Nosocomialinfection rate in a comprehensive ICU can be decreased through targeted surveillance by surveying the infection risk factors and developing effective control especially the using of respirato