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目的了解重症监护病房(ICU)医院感染的特点及危险因素,以制定有效预防和控制医院感染的制度及措施。方法采取目标性监测的方法,对2007年1~12月所有收住的患者的临床资料进行监测及分析。结果1327例ICU患者发生医院感染73例(5.50%),120例次(9.04%)。医院感染部位以下呼吸道为主,病原菌以革兰阴性菌居多。结论ICU医院感染率高,是医院感染管理的重点部门,加强病房管理,做好呼吸机等相关医疗用品的消毒灭菌,合理使用抗菌药物等均是预防ICU感染的有效措施。
Objective To understand the characteristics and risk factors of nosocomial infections in intensive care unit (ICU) in order to formulate effective prevention and control of nosocomial infections in institutions and measures. Methods By means of targeted monitoring, clinical data of all patients admitted from January to December in 2007 were monitored and analyzed. Results A total of 1327 hospitalized patients with ICU developed nosocomial infection in 73 patients (5.50%) and 120 patients (9.04%). The main respiratory tract following the site of hospital infection, mostly gram-negative pathogens. Conclusion ICU hospital infection rate is a key department of hospital infection management. It is an effective measure to prevent ICU infection by strengthening ward management, doing a good job of disinfection and sterilization of ventilator and other related medical supplies, and rational use of antimicrobial agents.