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目的分析神经外科重症监护病房(ICU)医院感染目标性监测结果,了解其医院感染特点,为干预措施的制定提供参考。方法对2013年1月-12月期间每例入住神经外科ICU≥2 d的患者及转神经外科ICU 2 d内的患者,监测其医院感染发病情况、侵入性操作使用及感染情况和多重耐药菌筛查及耐药性情况。结果共纳入1 178例患者,住院总时间4 144 d,医院感染率为4.92%,患者日感染率为13.75‰,1月、7月-12月的医院感染发病率与其他几月比较明显偏高;呼吸机使用率为9.75%,呼吸机相关性肺炎发病率为14.85‰;中心静脉导管使用率为28.40%,中心静脉导管相关性血流感染发病率为0.85‰;导尿管使用率为97.90%,导尿管相关性尿路感染发病率为0.25‰。结论神经外科ICU医院感染发病呈现明显季节性,需要医院感染控制专(兼)职人员提高警惕,及时发出风险预警,强化医院感染风险管理。
Objective To analyze the surveillance results of nosocomial infections in neurosurgical intensive care unit (ICU), understand the characteristics of nosocomial infections and provide references for the formulation of interventions. Methods The data of nosocomial infections, invasive operation, infection and multi-drug resistance were monitored in each patient admitted to ICU for 2 days in neurosurgery between January and December 2013 and 2 days after ICU in neurosurgery department. Bacterial screening and drug resistance. Results A total of 1 178 patients were enrolled. The total length of hospital stay was 4.144 days. The hospital infection rate was 4.92%. The daily infection rate was 13.75 ‰. The incidence of nosocomial infections in January, July-December was more obvious than in other months High; ventilator usage was 9.75%, ventilator-associated pneumonia incidence was 14.85 ‰; central venous catheterization rate was 28.40%, the incidence of central venous catheter-related bloodstream infection was 0.85 ‰; catheterization rate was 97.90%. The incidence of catheter-related urinary tract infection was 0.25 ‰. Conclusion The incidence of nosocomial infections in neurosurgical ICU is obviously seasonal, which requires vigilance (and) staff of hospital infection control department to issue early warning of risks and strengthen the management of nosocomial infection risk.