作　　者： (朱彩凤）; (黄雪平）; (王坚）; (季崇裕）; (钱静）;

机构地区： 张家港市第一人民医院感染管理科,张家港江苏215600

出　　处： 《中华医院感染学杂志》 2017年第15期3590-3593,共4页

摘　　要： 目的探讨环境清洁措施的干预对ICU感染率的影响,为预防和降低ICU医院感染率提供参考。方法选取2012年1月-2016年6月入住ICU的患者3 439例,将2012年1月-2014年6月入住患者1 821例作为干预前,2014年7月-2016年6月入住患者1 618例作为干预后,对比干预前后感染发生率。结果干预前医院感染例次率为10.05%,呼吸机相关性肺炎发生率为12.55‰,导尿管相关尿路感染发生率为1.24‰,导管相关性血流感染发生率为1.65‰、干预后医院感染例次率为7.05%,呼吸机相关性肺炎发生率为6.86‰,导尿管相关尿路感染发生率为1.17‰,导管相关性血流感染发生率为1.18‰;其中医院感染例次率及呼吸机相关性肺炎干预前后比较差异有统计学意义(P<0.05),而导尿管相关尿路感染及导管相关性血流感染发生率干预前后比较差异无统计学意义。结论医院环境清洁措施的干预对降低综合ICU感染率,尤其是呼吸机相关性肺炎的发生率有较为显著的作用。 OBJECTIVE To explore the effect of intervention of environmental cleaning measures on the rate of HAIs in ICU,so as to provide references for the prevention and reduction of HAI rates of ICU.METHODS A total of 3439 cases in ICU from Jan.2012 to Jun.2016 were selected.Among them,1821 cases from Jan.2012 to Jun.2014 were set as observation group,and 1618 cases from Jul.2014 to Jun.2016 were set as control group.The HAI rates before and after intervention were compared.RESULTS Before the intervention,the HAI rate was10.05% ,the incidence rate of ventilator-associated pneumonia（VAP）was 12.55‰,catheter-associated urinary tract infection（CAUTI）rate was 1.24‰,and catheter-related bloodstream infection（CRBSI）rate was 1.65‰.After the interventions were taken,the HAI rate was 7.05% ,the incidence rate of VAP was 6.86‰,CAUTI rate was 1.17 ‰,and CRBSI rate was 1.18‰.There were significant differences in the HAI rate and the incidence rate of VAP of patients before and after the intervention（P〈0.05）,and there was no significant difference in CAUTI and CRBSI before and after the intervention.CONCLUSIONIt is effective to take intervention measures of environment cleaning to reduce the HAI rate,especially for the incidence rate of VAP.

关 键 词： 重症监护病房 医院感染 环境清洁