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重症监护病房导管相关医院感染的目标性监测与分析

王建聪 莫绮君 祁可欣

中国感染控制杂志2016,Vol.15Issue(12):902-906,5.
中国感染控制杂志2016,Vol.15Issue(12):902-906,5.DOI:10.3969/j.issn.1671-9638.2016.12.002

重症监护病房导管相关医院感染的目标性监测与分析

Device-associated healthcare-associated infection in intensive care unit of a university hospital in China:a descriptive study

王建聪 1莫绮君 1祁可欣1

作者信息

  • 1. 广州中医药大学附属东莞市中医院,广东 东莞 523000
  • 折叠

摘要

Abstract

Objective To identify the occurrence and microorganism profile of device-associated healthcare-associa-ted infections (DA-HAIs)in the intensive care unit (ICU)of a university hospital in China.Methods From Janua-ry 1 to November 30,2015,patients admitted to the ICU of a university hospital in China for more than 48 hours were performed prospective descriptive study. DA-HAIs were defined according to the criteria of the Centers for Disease Control and Prevention (CDC)of U.S.,descriptive statistical analysis was performed.Results Of 254 pa-tients admitted to ICU,the overall incidence of DA-HAIs was 15.35% ,with 10.23 cases of DA-HAIs per 1 000 ICU-days;the incidence of ventilator-associated pneumonia (VAP ),catheter-associated urinary tract infection (CAUTI),and central line-associated bloodstream infection (CLABSI)were 7.05 per 1 000 ventilator-days,4.91 per 1 000 urinary catheter-days,and 3.22 per 1 000 central line-days,respectively. The main infection site was lower respiratory tract,accounting for 48. 27% ,followed by bloodstream system (27. 59% ),urinary tract (22.99% ),and gastrointestinal tract(1.15% ). The major isolated microorganism was Acinetobacterbaumannii (21 .52% ).Conclusion The surveillance system can identify the epidemiological status of DA-HAIs and make effec-tive control measures to ensure the healthcare safety.

关键词

导管相关医院感染/导尿管相关尿路感染/血管导管相关血流感染/呼吸机相关肺炎/医院感染/重症监护病房/描述性研究/病原微生物

Key words

device-associated infection/catheter-associated urinary tract infection/central line-associated blood-stream infection/ventilator-associated pneumonia/healthcare-associated infection/intensive care unit/descriptive study/microorganism

分类

医药卫生

引用本文复制引用

王建聪,莫绮君,祁可欣..重症监护病房导管相关医院感染的目标性监测与分析[J].中国感染控制杂志,2016,15(12):902-906,5.

中国感染控制杂志

OA北大核心CSTPCD

1671-9638

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