外科重症监护病房医院感染相关因素调查(1)
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[摘要] 目的 调查我院外科重症监护病房医院感染发生情况及分析相关因素。 方法 对我院外科重症监护病房的350例患者进行调查，记录其感染部位、基础疾病、侵入性操作及入住时间，统计医院感染率，分析相关影响因素。 结果 发生医院感染者76例，184份标本培养出病原菌150株，包括细菌和真菌。年龄、住院时间、侵入性操作对医院感染的发生均有影响(P < 0.05)。心脑血管疾病感染人数高于其他组患者的感染人数。 结论 应加强对外科重症监护病房的管理，减少患者的住院时间，对年龄大、有基础疾病的重症患者进行重点护理。
[关键词] 医院感染；外科重症监护病房；心血管疾病；呼吸系统
[中图分类号] R181.3 [文献标识码] B [文章编号] 1673—9701(2012)24—0007—03
Survey of surgical intensive care unit of the hospital infection related factors
ZHANG Yi
ICU of the Second People''s Hospital of Hangzhou City， Hangzhou 310015， China
[Abstract] Objective To investigate the hospital infection of surgical intensive care unit and analyze related factors. Methods Surveyed 350 cases in surgical intensive care unit， recorded the site of infection， underlying diseases， invasive operation and check in time， and statistically analyzed the hospital infection rate and related influencing factors. Results In 350 patients， hospital infections occurred in 76 cases， submitted a total of 184 specimens； 150 strains of pathogens were cultivated， including bacteria and fungi. Age， length of stay， invasive operation had an impact on hospital infections. Cardiocerebral vascular disease infection was higher than other groups. Conclusion Management sector should strengthen on ICU of management and supervision， strictly limit flow personnel of number， nurse older age and heavy syndrome patients， and guarantee strictly of no bacteria operation， reduce intrusional operation of project and time， shorten patients in heavy syndrome guardianship ward of hospital time.
[Key words] Hospital infection； Surgical intensive care unit； Cardiovascular diseases； Respiratory system
重症监护(intensive care)是应用目前先进的医疗技术、现代化的监护和抢救设备对各类危重病患者进行集中治疗和护理的过程 ......
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