论文部分内容阅读
目的探讨呼吸重症监护病房(RICU)医院感染特点及防控措施。方法回顾性调查我院RICU的186例患者临床资料。结果 186例RICU住院患者中发生医院感染46例,感染率为24.73%,例次感染为57例,例次感染率为30.65%。医院感染的高危人群是老年患者,常见感染部位为呼吸道和泌尿道,与患者接受过侵入性操作、医护人员无菌概念不强、不合理使用抗菌药物和医护人员医院感染意识不强等因素有关。结论 RICU患者医院感染发生率较高,应加强对老年患者的护理,针对不同因素采取相应的预防和控制措施,合理使用抗菌药物,加强呼吸道的管理,加强RICU医院感染的风险评估,可有效降低医院感染率。
Objective To investigate the characteristics of Nosocomial Infection in respiratory intensive care unit (RICU) and its prevention and control measures. Methods The clinical data of 186 patients with RICU in our hospital were retrospectively reviewed. Results Among 186 RICU inpatients, 46 cases were hospitalized with infection, the infection rate was 24.73%, the number of infection was 57 and the rate of infection was 30.65%. High-risk groups of nosocomial infections are elderly patients, common infection sites for the respiratory tract and urinary tract, and patients have been subjected to invasive procedures, health care workers sterile concept is not strong, irrational use of anti-bacterial drugs and medical staff awareness of nosocomial infections and other factors . Conclusions The incidence of nosocomial infections in patients with RICU is higher. Care should be strengthened for elderly patients. Relevant prevention and control measures should be taken according to different factors. Rational use of antimicrobial agents, management of respiratory tract, and risk assessment of RICU nosocomial infections can be effectively reduced Hospital infection rate.