摘要
目的探讨急诊重症监护病房(EICU)医院感染的病原菌分布,并根据结果总结相应的预防对策。方法回顾性分析2011年5月-2013年5月EICU 563例患者临床资料,调查发生医院感染的例数,并且分析病原菌分布,根据结果提出对应的护理对策,所有数据采用SPSS 13.0软件进行分析。结果此次调查的563例患者中有79例发生医院感染,医院感染率为14.03%;感染部位以下呼吸道感染与泌尿生殖感染最多,分别占45.65%、28.26%;79例患者分离出了104株病原菌,以大肠埃希菌与金黄色葡萄球菌居多,分别占37.50%、25.96%。结论 EICU患者多数病情危急,医院感染的危险因素较多,容易发生医院感染,医院要通过加强消毒工作、严格执行无菌操作等措施降低医院感染的发生率。
OBJECTIVE To investigate pathogen distribution of nosocomial infections in the emergency ICU（EICU）,and summarize corresponding prevention measures based on the results.METHODS Clinical data of 734 patients in EICU from May 2011-May 2013 were retrospectively analyzed,the number of nosocomial infection cases and the distribution of pathogens were analyzed,and the corresponding nursing strategies were put forward according to the results.RESULTS According to the survey of 563 patients,79patients experienced nosocomial infections,the nosocomial infection rate was 14.03%.Lower respiratory tract infection and genitourinary infection were the most common,accounting for 45.65%,and 28.26%.A total of 104 pathogens were isolated from 79 patients,Escherichia coli and Staphylococcus aureus were the major pathogens,accounting for 37.50%,and 25.96%.CONCLUSION Most patients in EICU are in critical condition.As there are a great amount of risk factors for nosocomial infections and there is a great opportunity for the occurrence of nosocomial infections,the hospital should strengthen disinfection work and perform aseptic operation strictly to reduce the incidence of nosocomial infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第16期3983-3984,3987,共3页
Chinese Journal of Nosocomiology
基金
海南省科技厅研究基金资助项目(2012-07532)
