Targeted monitor on healthcare-associated infection in a general intensive care unit
10.3969/j.issn.1671-9638.2014.08.007
- VernacularTitle:综合 ICU 医院感染目标性监测与分析
- Author:
Jian LI
;
Jing LI
;
Jian TAN
;
Shaowu YE
;
Ruiming LU
;
Liping YANG
;
Haiwei CHEN
- Publication Type:Journal Article
- Keywords:
intensive care unit;
healthcare-associated infection;
targeted monitor;
pathogenic bacteria;
multidrug resistance;
drug resistance,microbial
- From:
Chinese Journal of Infection Control
2014;(8):475-478,499
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the occurrence of healthcare-associated infection(HAI)and catheter-related infection in a general intensive care unit(GICU),so as to strengthen the management.Methods Targeted monitor method was adopted,monitor scheme was established ,personal monitor contents and forms were designed,hospi-talized GICU patients were investigated prospectively between May 2012 and May 2013,and surveyed data were an-alyzed.Results A total of 868 patients were investigated,65 times (7.49%)of HAI occurred;infection rate per day was 21.49‰,adjust infection rate per day was 7.26‰.Infection rate of ventilator-associated pneumonia ,catheter-associated urinary tract infection ,and central venous catheter-related bloodstream infection per day was 23.91‰,3.46‰,and 6.12‰,respectively;the main infection site was respiratory tract (67.69%).Sixty-five isolates of pathogens were detec-ted,81.54%(n=53)of pathogens were gram-negative bacilli,and with multidrug resistance.Conclusion HAI rate is high in GICU ,the use of various types of catheters is an important factor for HAI in GICU patients.Targeted mo-nitoring on ICU is a scientific and effective method ,it can timely reflect the weak links of infection control practice and promote HAI control .
