中国感染控制杂志Issue(1)：15-18,4.DOI:10.3969/j.issn.1671-9638.2016.01.003
肿瘤医院重症监护病房医院感染目标性监测
Targeted monitoring on healthcare-associated infection in intensive care unit of a tumor hospital
摘要
Abstract
Objective To understand the results and characteristics of targeted monitoring of healthcare-associated infection (HAI)in an intensive care unit (ICU)of a tumor hospital,so as to provide scientific basis for formulating measures of prevention and control of HAI.Methods Patients who admitted to an ICU from January to December 2013 were performed targeted monitoring,incidence of HAI was adjusted with an average severity of illness score (ASIS),three types of invasive procedure-related infection,distribution of pathogens,and multidrug-resistant or-ganisms were monitored.Results A total of 455 patients were monitored,the total patient-days were 2 483 days, 52 cases of HAI occurred,incidence of HAI was 11 .43%,incidence of HAI per 1 000 patient-days was 20.94‰,af-ter the adjustment with ASIS,incidence of HAI per 1 000 patient-days was 6.29‰.The main infection site was re-spiratory system(63.46%),followed by urinary system(19.23%);Incidence of ventilator-associated pneumonia per 1 000 ventilation-days,catheter-related bloodstream infection per 1 000 catheter-days,and catheter-associated urinary tract infection per 1 000 urinary catheter days were 12.08‰,0.95‰,and 4.07‰ respectively.A total of 181 path-ogenic isolates were detected,74.59% (n=135)of which were gram-negative bacteria,18.23%(n=33)were gram-positive bacteria,and 7.18%(n=13)were fungi;18.23%(n=33)were multidrug-resistant strains.Conclusion ICU is the high risk department of the occurrence of HAI,the main infection is respiratory tract infection,the major pathogen is gram-negative bacteria.Targeted monitoring can timely reflect the deficiency in infection control practice,is helpful for formula-ting effective prevention and intervention measures,and reducing the occurrence of HAI.关键词
肿瘤/重症监护病房/目标性监测/医院感染/病原菌Key words
tumor/intensive care unit/targeted monitoring/healthcare-associated infection/pathogen分类
医药卫生引用本文复制引用
贾巍,李亚昙,杨立新,许菊玲,董岩,张辉文..肿瘤医院重症监护病房医院感染目标性监测[J].中国感染控制杂志,2016,(1):15-18,4.基金项目
教育部人文社会科学研究项目（14YJCZH063）；新疆医科大学社科基金项目（2013XYSK45）；新疆医科大学卫生事业发展改革研究所项目 （）
