Targeted Surveillance of Nosocomial Infection in Intensive Care Unit_West China Medical Journal

Authors：

 XIANGLi-jia ,  SONGXiao-ying , ZHENGXiao-hong , YANGQin-qin

Department of Nosocomial Infection Management, the Second People's Hospital of Chengdu, Chengdu, Sichuan 610017, P. R. China;

Corresponding author：

SONGXiao-ying, Email: songxiaoying@163.com

Keywords：

Hospital infection; Objective monitoring; Intensive Care Unit; Device related infection; Ventilator associated pneumonia; Catheter associated urinary tract infection

DOI：

10.7507/1002-0179.20140130

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Objective To investigate the incidence of nosocomial infection and device-related infection in the Intensive Care Unit (ICU), analyze its related risk factors, and search for effective measures to prevent and control nosocomial infection. Methods By prospective objective monitoring method, we surveyed 294 patients hospitalized in the ICU for at least 48 hours between January and December 2012. The doctor in charge filled in relevant information of the patients to complete the questionnaires, and hospital infection management staff was responsible for tracking, judging, and statistical analysis. Results In the 294 patients, 61 had hospital infections, and there were 78 cases. The hospital infection rate was 20.75%, and the case infection rate was 26.53%. The day incidence of patient infection was 16.01‰, and day infection rate was 20.47‰ for infection cases. After average severity of illness score adjustment, the day case infection rate was 7.48%, ventilator associated pneumonia (VAP) infection rate was 27.27‰, central venous catheter associated bloodstream infection rate was 6.58‰, and catheter associated urinary tract infection rate was 3.15‰. Conclusion ICU has a high risk of hospital infection. In the device related infections, VAP infection rate is the highest. Continuous improvement can be achieved through monitoring and discovering problems, strengthening hospital infection management training for the medical personnel of the hospital, close communication between doctors and hospital infection management staff, and strict implementation of hospital infection management measures.

Citation： XIANGLi-jia, SONGXiao-ying, ZHENGXiao-hong, YANGQin-qin. Targeted Surveillance of Nosocomial Infection in Intensive Care Unit. West China Medical Journal, 2014, 29(3): 432-435. doi: 10.7507/1002-0179.20140130 Copy

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1. 蒲丹, 舒明蓉, 张卫东, 等. 综合ICU医院感染目标性监测分析[J]. 西部医学, 2011, 23(12):12-23.
2. 彭蓉, 邢晋苓, 朱卫国. 重症监护病房医院感染监测目标监测结果分析及对策[J]. 华西医学, 2013, 28(8):1179-1181.
3. 中华人民共和国卫生部. WS/T 312-2009医院感染监测规范[S]. 2009.
4. 中华人民共和国卫生部. 医院感染诊断标准(试行)[J]. 中华医学杂志, 2001, 81(5):314-320.
5. 徐丽华, 钱培芬. 重症护理学[M]. 北京:人民卫生出版社, 2008:26-33.
6. 肖永红, 王进. 2006-2007年Mohnarin ICU病原菌耐药性监测[J]. 中华医院感染学杂志, 2008, 18(9):1223-1227.
7. 年华, 褚云卓, 王倩. ICU与非ICU病房致病病原菌谱及耐药分析[J]. 中国公共卫生, 2007, 23(12):1516-1517.
8. 陈琼娜, 李艳波, 陈浙华, 等. 重症监护病房医院感染病原菌分布及耐药性分析[J]. 中华医院感染学杂志, 2007, 17(4):399-400.
9. 宋青, 周飞虎, 王秀英. 重症监护病房细菌分布与变迁分析[J]. 中华医院感染学杂志, 2006, 16(9):1072-1074.
10. 蒲丹, 张卫东, 谭成, 等. ICU呼吸机相关肺炎141例调查分析[J]. 中华肺部疾病杂志, 2011, 4(6):467-470.
11. Melsen WG, Rovers MM, Bonten MG. Ventilator-associated pneumonia and mortality:a systematic review of observational studies[J]. Crit Care Med, 2009, 37(10):2709-2718.
12. DiCocco JM, Croce MA. Ventilator-associated pneumonia:an overview[J]. Expert Opin Pharmacother, 2009, 10(9):1461-1467.
13. 李华茵, 何礼贤, 胡必杰. 等. 重症监护病房呼吸机相关肺炎临床与病原学分析[J]. 中国呼吸与危重监护杂志, 2005, 4(4):266-270.
14. 刘坤, 袁晓宁, 武迎宏, 等. 北京市三级医院ICU医院感染目标性监测分析[J]. 中华医院感染学杂志, 2012, 22(2):248-250.
15. Bleasdale SC, Trick WE, Gonzalez IM, et al. Effectiveness of chlorhexidine bathing to reduce catheter-associated bloodstreaminfections in medical intensive care unit patients[J]. Arch Intern Med, 2007, 22, 167(19):2073.
16. 章华萍, 张玉琴, 郑丹. 综合性ICU医院感染目标性监测分析[J]. 中华医院感染学杂志, 2011, 21(1):49-51.
17. 母绍琼, 曾玲, 陈蓉. ICU医院感染相关因素调查分析研究[J]. 中华医院感染学杂志, 2012, 22(22):5001-5002.
18. 牟玉英, 王新, 李君. 不同病区医护手监测调查与分析[J]. 中华医院感染学杂志, 2003, 13(5):440-441.

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