Targeted monitoring of nosocomial infection in comprehensive Intensive Care Unit in a tertiary general hospital_West China Medical Journal

Authors：

JIANG Dongping ,  GU Chengwu , LI Yanxia , LIANG Yuping

Nosocomial Infection Management Department, Suining Central Hospital, Suining, Sichuan 629000, P. R. China;

Corresponding author：

GU Chengwu, Email: 43981232@qq.com

Keywords：

Intensive Care Unit; Nosocomial infection; Targeted monitoring; Multidrug-resistant bacteria

DOI：

10.7507/1002-0179.201702044

Video：

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Objective To investigate nosocomial infection rate in Intensive Care Unit (ICU), its risk factors and the pathogenic characteristics of multidrug-resistant bacteria through targeted monitoring, in order to provide scientific references for reducing nosocomial infection. Methods Targeted monitoring was performed on the patients who were admitted to the comprehensive ICU between July 2014 and June 2016. Results Nosocomial infection occurred in 312 of the 4 991 patients. The case infection rate was 6.25%, and case infection rate per day was 19.03‰. After the adjustment, the case infection rate per day was 6.77‰. The ventilator-associated pneumonia infection accounted for 30.78‰; catheter-related bloodstream infection occupied 0.30‰; and catheter-associated urinary tract infection accounted for 0.27‰. The respiratory tract was the major part of nosocomial infection, accounting for 90.38%. Gram-negative bacilli were the major bacteria accounting for 92.74%, in whichAcinetobacter baumannii accounted for 36.29%. Conclusions Through targeted monitoring to keep abreast of the current situation of nosocomial infection in ICU, management and interventions can be targeted. It is an important way to reduce nosocomial infection in ICU.

Citation： JIANG Dongping, GU Chengwu, LI Yanxia, LIANG Yuping. Targeted monitoring of nosocomial infection in comprehensive Intensive Care Unit in a tertiary general hospital. West China Medical Journal, 2017, 32(3): 361-365. doi: 10.7507/1002-0179.201702044 Copy

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1. 张亚英, 姜亦虹, 沈黎, 等. ICU 医院感染目标性监测与干预研究. 中华医院感染学杂志, 2012, 22(21): 4715-4717.
2. 任玲, 周宏, 郑霞, 等. 医院感染目标性监测与全面综合性监测方法对比研究. 中华医院感染学杂志, 2006, 16(9): 995-997.
3. 中华医学会重症医学分会. 呼吸机相关性肺炎诊断、预防和治疗指南 (2013). 中华内科杂志, 2013, 52(6): 524-543.
4. 陈佰义, 何礼贤, 胡必杰, 等. 中国鲍曼不动杆菌感染诊治与防控专家共识. 中国医药科学, 2012, 2(8): 3-8.
5. 姜亦虹, 周宏, 李阳, 等. 2011 年江苏省 140 所医院 ICU 医院感染目标性监测分析. 中华医院感染学杂志, 2012, 22(21): 4712-4714.
6. 刘卫平, 田勇泉, 郑志楠. 2013 年内蒙古自治区 28 所医院 ICU 医院感染目标性监测报告. 中国消毒学杂志, 2015, 32(7): 675-677.
7. 王娇, 陈梦燕, 黄静. 综合性 ICU 医院感染目标性监测结果分析. 中华医院感染学杂志, 2015, 25(10): 2242-2243, 2264.
8. 张璐, 王玉青, 赵磊, 等. ICU 患者下呼吸道感染病原菌与耐药性分析. 中华医院感染学杂志, 2016, 26(14): 3161-3163.
9. 许川, 熊薇. 22 所医院 ICU 感染目标性监测结果分析. 现代预防医学, 2013, 40(18): 3432-3434.
10. Dudeck MA, Horan TC, Peterson KD,et al. National healthcare safety network report, data summary for 2011, device-associated module. Am J Infect Control, 2013, 41(4): 286-300.
11. Madani N, Rosenthal VD, Dendane T,et al. Health-care associated infections rates, length of stay, and bacterial resistance in an intensive care unit of Morocco: findings of the International Nosocomial Infection Control Consortium (INICC). Int Arch Med, 2009, 2(1): 29.
12. 李卫光, 秦成勇, 王一兵, 等. 山东省 12 所综合医院 ICU 医院感染目标性监测分析. 中华医院感染学杂志, 2009, 19(4): 384-386.
13. 余虹. 某医院呼吸机相关肺炎危险因素研究. 中国消毒学杂志, 2015, 32(4): 357-359.
14. 李耀军, 文凌娟, 杨艳兵, 等. 45 例呼吸机相关性肺炎感染病原菌变迁及抗感染疗效分析. 中华肺部疾病杂志:电子版, 2015, 8(3): 44-47.
15. Bayram A, Balci I. Patterns of antimicrobial resistance in a surgical intensive care unit of a university hospital in Turkey. BMC Infect Dis, 2006, 6: 155.

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Targeted monitoring of nosocomial infection in comprehensive Intensive Care Unit in a tertiary general hospital

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