基层医疗机构重症医学科医院感染目标性监测的分析.docVIP

精品论文 参考文献 基层医疗机构重症医学科医院感染目标性监测的分析 刘薇 (河南省信阳市中心医院医院感染管理科 河南 信阳 464000) 【摘要】 目的：通过对基层医疗机构重症医学科医院感染进行目标性监测，探讨分析其感染的相关性因素，降低医院感染率。方法：从2013年4月到2014年1月，选取我院重症医学科收治的351例患者进行回顾性分析，对其进行医院感染目标性监测，分析基层医疗机构重症医学科医院感染率的情况。结果：重症医学科收治的351例患者中发生感染的患者占比27.07%（95/351），共发生感染104例次，占比21.63%，日感染率为25.69permil;，调整后为5.26permil;，其中以肺部感染、泌尿道感染为主构成比为71.58%、20.00%；侵入性操作器械相关性感染主要以呼吸机相关感染为主占比30.07permil;，其次为导尿管相关感染和导管相关血液感染，分别为3.86permil;和0.92permil;。结论：重症医疗科患者的感染率较高，对其进行医院感染目标性监测能够精准的确定患者发生感染的情况，安全可靠，可根据发生感染的原因制定个性化的护理对策和医院的改进措施，在降低重症医疗科感染率上具有重要的临床意义。 【关键词】 基层医疗机构；重症医学科；医院感染 【中图分类号】R197.32 【文献标识码】A 【文章编号】2095-1752（2015）33-0389-02Target monitoring of infection in the primary medical institutions in ICU of the hospital 【Abstract】Objective The target monitoring by infection of grass-roots medical institutions in the ICU hospital, explore the correlation between factors of infection, thereby reducing the rate of hospital infection. Methods From 2013 April to 2014 January, selected 281 cases treated in ICU in our hospital were retrospectively analyzed, the target monitoring of nosocomial infection, the infection rate of primary health care institutions in ICU of the hospital. Results The infection occurred in 281 patients admitted to intensive care unit patients accounted for 27.05% (76/281), a total of 84 cases of infection, accounting for more than 29.89% days, the infection rate was 26.14 per thousand, after adjustment for 5.39 per thousand, with pulmonary infection, urinary tract infection accounted for 72.37%, 19.73%. Conclusion The high rate of infection in patients with severe medical science, it can accurately determine the patients the incidence of infection, surveillance of hospital infection is safe and reliable, can be personalized according to the reason of improvement measures of infection and the nursing countermeasures in the hospital, has important clinical significance in reducing the weight of medical infectio