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目的强化医务人员手卫生和控制重症监护病房医院感染。方法采用强化培训和强制干预措施,以本医院重症监护病房为对象,用前瞻性方法对实施干预措施前后医院感染情况进行了监测。结果干预措施前的2007年,本医院重症监护病房医院感染率为42.7%;干预措施后的2008年,医院感染率为27.36%,同比下降15.36%。干预措施后,医院感染致病菌分离率有所下降,以革兰阳性菌下降明显。结论加强手卫生管理,强制实施手卫生干预措施,可有效控制医院感染率。
Objective To reinforce hand hygiene of medical staff and control of nosocomial infections in intensive care units. Methods Intensive training and compulsory intervention were used to monitor hospital infection before and after the implementation of interventions with a prospective method in our hospital intensive care unit. Results Before 2007, the hospital infection rate in the ICU was 42.7%. After the intervention, in 2008, the hospital infection rate was 27.36%, down 15.36%. After the intervention, the isolation rate of nosocomial pathogenic bacteria decreased, with Gram-positive bacteria decreased significantly. Conclusion Strengthening hand hygiene management and enforcing hand hygiene interventions can effectively control hospital infection rate.