Targeted monitoring on healthcare-associated infection in a respiratory in-tensive care unit of a teaching hospital
10.3969/j.issn.1671-9638.2015.10.016
- VernacularTitle:某教学医院呼吸重症监护病房医院感染目标性监测
- Author:
Jingwen LI
;
Linfei WU
;
Weijia YIN
;
Zhiyong ZONG
;
Shichao ZHU
;
Hui ZHANG
;
Wenzhi HUANG
- Publication Type:Journal Article
- Keywords:
intensive care unit;
targeted monitoring;
healthcare-associated infection;
device-associated infection;
catheter-related infection;
pathogen
- From:
Chinese Journal of Infection Control
2015;(10):708-710,712
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the incidence of healthcare-associated infection (HAI)in patients in a respiratory in-tensive care unit (RICU)of a teaching hospital,and provide reference for HAI prevention and control.Methods All pa-tients admitted to this RICU from January to December 2014 were surveyed with prospective targeted monitoring method, surveyed data were analyzed statistically.Results A total of 561 patients were surveyed,43 patients developed 44 times HAI,HAI rate and HAI case rate were 7.66% and 7.84% respectively,incidence of HAI and adjusted incidence of HAI per 1 000 patient-days were 6.26‰ and 1.79‰ respectively.The main infection site was urinary tract (45.46%,n=20). Incidence of ventilator-associated pneumonia (VAP ),catheter-related bloodstream infection (CRBSI),and catheter-associat-ed urinary tract infection (CAUTI)per 1 000 catheter-days were 2.73‰(n=13),1.57‰(n=2),and 3.78‰(n=18)re-spectively.Incidence of HAI per 1 000 patient-days between the first and second half year of 2014 was significantly differ-ent(4.59‰ vs 7.89‰;u=-1.75,P =0.04).A total of 47 pathogenic strains were isolated,the main pathogens were gram-negative bacteria(n=26,55.32%).Conclusion The major HAI in RICU is device-associated infection,it is necessary to strengthen the management of invasive procedures;targeted monitoring can find the weak links of infection control prac-tice and helpful for taking effective prevention and control measures to reduce the incidence of HAI in ICU.
