【摘要】 目的通过医院感染目标性监测评价重症监护病房(ICU)医院感染的特点及与环境监测结果的相关性。方法对医院ICU1997年1月-2008年8月入住>48h患者进行医院感染监测,对ICU医院感染率与环境监测结果进行相关性分析,采用SPSS10.34进行统计学处理。结果医院感染率与实行目标性监测前比较差异有统计学意义(P<0.01),感染例次率与目标性监测前比较差异无统计学意义(P>0.05);感染部位以下呼吸道感染为主,其次是泌尿道和胃肠道感染;医院感染专职人员对ICU空气、物体表面、医护人员手的监测合格率分别为78.28%、90.94%及95.83%。结论ICU患者存在诸多医院感染易感因素,应将ICU作为医院感染重点监测部门;医院感染目标性监测是确有成效的监测方法;ICU医院感染率与同期环境监测结果无显著相关性,环境卫生学监测应具有科学价值和实际意义。更多还原

【Abstract】 OBJECTIVE Through nosocomial infection targeted surveillance in intensive care unit(ICU),to evaluate the characteristics of nosocomical infection and their its correlation with the results of environmental monitoring at the same period.METHODS Nosocomial infection monitoring was explored on patients who were in ICU more than 48 h from Jan 1997 to Jun 2008.Correlation analysis was conducted between the rate of nosocomial infection in ICU and the same period environmental monitoring results.Data were analyzed with the SPSS10.34 software.RESULTS There was significant difference(P<0.01)in nosocomial infection rate and no significant difference(P>0.05)in the rate of infection cases before and after target monitoring was practiced.The site of infection was mainly in respiratory tract,followed by the gastrointestinal tract and urinary tract;The full-time personnel in duty for nosocomial infection surveillance monitored the indoor air,object surface,medical personnel’s hands in ICU,their qualified rate was 78.28%,90.94% and 95.83%,respectively.CONCLUSIONS There are many risk factors in patients in ICU,ICU should be looked as one of the important nosocomial infection monitoring department.The target monitoring of nosocomial infection is an effective method;the nosocomial infection rate in ICU and the environmental result at the same period don’t show relevance,the environmental hygiene monitoring should be scientific and practical.更多还原