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目的通过对外科重症监护病房(SICU)医院感染相关因素分析,有效预防和控制SICU医院感染。方法对2006年3月-2008年2月SICU收治的723份监护患者病历进行回顾性分析。结果发生医院感染共88例,感染率为12.17%,显著高于全院同期感染率;危险因素主要与侵入性操作,不合理使用抗菌药物,患者的免疫力低,住院时间长和SICU布局设置不合理有关。结论减少侵入性操作,合理使用抗菌药物,规范各项操作规程,加强消毒隔离,科学、规范地设置SICU是有效预防医院感染的重要措施。
Objective To effectively prevent and control SICU nosocomial infection by analyzing the related factors of SICU hospital infection. Methods The clinical records of 723 patients admitted to SICU from March 2006 to February 2008 were analyzed retrospectively. Results A total of 88 cases of nosocomial infections were found, the infection rate was 12.17%, which was significantly higher than that of nosocomial infection. The main risk factors were invasive procedure, irrational use of antimicrobial agents, low immunity, long hospital stay and SICU layout Irrational. Conclusions Reduce the invasive operation, the rational use of antimicrobial drugs, regulate the various operating procedures and strengthen the disinfection and isolation, scientific and standardized setting SICU is an important measure to effectively prevent nosocomial infections.