Targeted monitoring of health care-associated infections in ICUs of a three-A hospital from 2017 to 2023
10.11816/cn.ni.2025-248376
- VernacularTitle:2017-2023年某三甲医院ICU医院感染目标性监测报告
- Author:
Yi WANG
1
;
Wen XU
1
;
Wei GE
1
;
Lili MA
1
;
Xiaoqin CAO
1
;
Yafei JIN
1
;
Yifei LI
1
;
Shanhong FAN
1
Author Information
1. 空军军医大学第二附属医院疾病预防控制科,陕西西安 710038
- Publication Type:Journal Article
- Keywords:
Targeted monitoring;
Instrument-associated infection;
Use of instrument;
Pathogen;
Distribution
- From:
Chinese Journal of Nosocomiology
2025;35(5):728-733
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To analyze the status of targeted monitoring of the health care-associated infections in in-tensive care unit(ICU)of a three-A hospital of northwest China in recent 7 years so as to provide bases for formu-lating effective prevention and control measures for the health care-associated infections.METHODS The related data were successively collected from the ICU hospitalized patients of the Second Affiliated Hospital of Air Force Medical University who were under the targeted monitoring by nosocomial infection real-time monitoring system from Jan.2017 to Dec.2023.The data included the incidence of infections,infection sites,use of catheters,inci-dence of catheter-related infections,and distribution and prevalence trend of pathogens.RESULTS A total of 49,137 hospitalized patients from five ICU wards of respiratory medicine department,neurosurgery department,neurology department,thoracic surgery department and critical care medicine department were under the monito-ring,1446(1681 case-times)of whom had health care-associated infections,with the infection rate 2.94％,the case-time infection rate 3.42％.The respiratory system was the major infection site of the patients with the health care-associated infections.Among the patients with instrument-associated infections,20.70％had ventilator-asso-ciated pneumonia(VAP),5.71％had urinary catheter-associated urinary tract infection(CAUTI),and 1.96％had catheter-related bloodstream infection(CRBSI).Totally 405 strains of non-repetitive pathogens were isolated from 477 patients with instruments-associated infections,78.77％of which were gram-negative bacteria.The iso-lation rate of multidrug-resistant organisms(MDROs)was 44.12％,and Acinetobacter baumannii was the pre-dominant species of pathogen isolated from the patients with VAP.CONCLUSIONS The targeted monitoring of health care-associated infections may facilitate the awareness of dynamic changes of the infections in a accurate and timely manner so as to provide bases for developing effective prevention and control measures for the health care-associated infection.It is necessary to strengthen the prevention and control of the infections in critical care medi-cine department,neurosurgery department as well as the lower respiratory tract infections and prevent the MDROs infection in the meantime.
