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2011-2012年ICU导管相关医院感染监测分析 被引量:7

Surveillance of catheter-related infections in ICU during 2011-2012
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摘要 目的通过对ICU的目标性监测,了解ICU住院患者导管相关医院感染因素,并采取预防控制措施,以降低感染率。方法采用目标性监测方法对2011-2012年2592例ICU住院患者的医院感染进行监测,根据患者平均病情严重程度调整医院感染率,并对3种侵入性操作进行分析。结果 2011和2012年ICU患者感染例数分别为131例和136例,感染率分别为10.39%和10.37%,依病情严重程度(Average Severity of IllnessScore,ASIS)调整后日医院感染率分别为5.74‰及6.20‰;2011年和2012年呼吸机相关性肺炎(VAP)发生率分别为37.03‰和32.72‰,中心静脉插管相关血流感染率(CRBSI)分别为3.2‰和0.49‰,留置导尿管相关泌尿道感染率(CAUTI)分别为2.2‰合0.84‰;ICU医院感染以鲍氏不动杆菌及金黄色葡萄球菌为主。结论 2012年VAP、CRBSI和CAUTI较2011年有明显下降。 OBJECTIVE To investigate factors for the catheter-related infections in hospitalized patients of ICU through targeted surveillance and take .prevention and control measures so as to reduce the infection rate. METHODS By means of the targeted surveillance, the monitoring of incidence of nosocomial infections was performed for the 2592 ICU patients who were hospitalized during 2011--2012, then the incidence of nosocomial infections was adjusted according to the average severity of disease, and the three invasive operations were analyzed. RESULTS The infections occurred in 131 (10.39%) cases of ICU patients in 2011 and in 136 (10.37%) cases of ICU patients in 2012; according to the average severity of illness score, the adjusted daily infection rates were 5.74% and 6.20‰, respectively; the incidence rate of veatilator-associated pneumonia (VAP) was 37.03% in 2011, 32.72% in 2012; the incidence rate of central venous catheter-related bloodstream infection (CRBSI) was 3.2% in 2011, 0.49% in 2012; the incidence rate of indwelling catheter-associated urinary tract infection (CAU- TI) was 2.2% in 2011, 0.84% in 2012. The Acinetobacter baumannii and Staphylococcus aureus were the predominant species of pathogens causing nosocomial infections in ICU. CONCLUSION As compared with 2011, the incidence rates of VAP, CRBSI, and CAUTI are significantly decreased in 2012.
出处 《中华医院感染学杂志》 CAS CSCD 北大核心 2013年第24期5969-5970,5973,共3页 Chinese Journal of Nosocomiology
基金 中华医院感染控制研究基金资助(ZHYY2013-028)
关键词 医院感染 重症监护病房 导管相关感染 目标性监测 Nosocomial infection Intensive care unit Catheter-related infection Targeted surveillance
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  • 1刘晓棠.留置导尿与菌尿的关系探讨[J].中华护理杂志,1995,30(5):271-273. 被引量:89
  • 2张琦,王颖,黄晓玲.不同敷料对血液透析患者深静脉置管感染率的影响[J].中国临床医学,2006,13(3):468-468. 被引量:4
  • 3Dreyfuss D,Ricard JD,Gaudry S.Amphotericin B deoxycholate for candidiasis in intensive care unit patients revisited:medical,ethical,and financial implications[J].Am J Respir Crit Care Med,2013,187(6):661-663.
  • 4叶应抚,王毓三,申子瑜.全国临床检验操作规程[S].南京:东南大学出版社,2006.
  • 5DattaP,Rani H,Chauhan R,et al.Health-care-associated infections:risk factors and epidemiology from an intensive care unit in Northern India[J].Indian J Anaesth,2014,58(1):30-35.
  • 6Bassetti M,Merelli M,Righi E,et al.Epidemiology,species distribution,antifungal susceptibility,and outcome of candidemia across five sites in Italy and Spain[J].J Clin Microbiol,2013,51(12):4167-4172.
  • 7Blot S,Koulenti D,Dimopoulos G,et al.Prevalence,risk factors,and mortality for ventilator-associated pneumonia in middle-aged,old,and very old critically ill patients[J].Crit Care Med,2014,42(3):601-609.
  • 8郭燕红,胡必杰,刘荣辉,等.医院感染预防与控制临床实践指引(2013 年)[M].上海.上海科学技术出版社,2013:234.
  • 9Horan TC,Andrus M,Dudeck MA.CDC/NHSN surveillancedefinition of health care-associated infection and criteria forspecific types of infection in the acute care setting[J].Am Jinfect control,2008,36(5):309-332.
  • 10王书会,李颖霞,邓钰,于书卷.内科系统医院感染现患率调查[J].中华医院感染学杂志,2010,20(4):477-479. 被引量:30

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