Monitoring and analysis of the relevant factors and strategies of nosocomial infection in intensive care unit
10.3760/j.issn.1674-2907.2014.22.019
- VernacularTitle:重症监护病房患者医院感染的相关因素分析及对策
- Author:
Wei GAO
1
;
Yunjing WU
Author Information
1. 050051 石家庄，河北医科大学第三医院感控科
- Keywords:
ICU;
Nosocomial infection;
Monitoring;
Relevant factors
- From:
Chinese Journal of Modern Nursing
2014;20(22):2784-2787
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the characteristics of nosocomial infections and factors in patients in intensive care unit ( ICU) ,in order to provide a basis for the measures .Methods Using the method of target monitoring , to the patients who were in the ICU from January 2013 to December had a prospective surveillance , statistics and analysis the monitoring data .Results There were 163 cases happened nosocomial infection in 677 cases of patients, hospital infection rate was 24.1%;212 cases of secondary infection , infection cases rate was 31.3%. The main site of infection followed by respiratory tract ( 143 cases, 67.5%), blood (28 cases,13.2%), urinary tract (15 cases, 7.1%).The main pathogen of infection followed by Acinetobacter baumannii (64 strains, 30.2%), Pseudomonas aeruginosa (35 strains, 16.5%) and Klebsiella pneumoniae (24 strains, 11.3%).Different age, hospitalization, the number of disease diagnosis at ICU hospitalized , mechanical ventilation time and presence of detaining urethral catheter for endotracheal intubation , deep venous catheterization , indwelling catheters in patients with the incidence of comparative differences were statistically significant (P<0.05)Conclusions Should take appropriate prevention and control measures for related factors of nosocomial infection in ICU , strict aseptic procedures and disinfection and isolation system , strengthen the hand hygiene , good management of invasive procedures , try to shorten the hospital stay of patients , rational use of antibiotics and so on are the key measures to reduce the nosocomial infections in ICU .
