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目的了解重症监护病房(ICU)实施导管相关感染干预措施后的效果。方法对2006年1月-2009年12月入住外科ICU的患者,采用目标性监测方法 ,对医院感染发病情况进行监测,并用患者平均病情严重程度(ASIS)调整法调整医院感染发病率,同时对导管相关医院感染进行分析。结果经ASIS调整后的日感染例次发病率由原来的7.49‰下降至4.45‰,导管相关感染率均有不同程度下降,呼吸机相关性肺部感染率由10.53‰下降至4.79‰。结论 ICU采取导管相关感染预防控制措施能明显降低感染率。
Objective To understand the effects of catheter-related infection interventions in intensive care unit (ICU). Methods Patients admitted to the surgical ICU from January 2006 to December 2009 were monitored by targeted surveillance to monitor the incidence of nosocomial infections. The incidence of nosocomial infections was adjusted with the average patient’s severity of illness (ASIS) adjustment method. At the same time, Catheter-related hospital infections were analyzed. Results The incidence of ASIS-adjusted daily infections dropped from 7.49 ‰ to 4.45 ‰, and the catheter-related infection rates decreased to varying degrees. The ventilator-associated lung infection rate decreased from 10.53 ‰ to 4.79 ‰. Conclusion ICU take catheter-related infection prevention and control measures can significantly reduce the infection rate.