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

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

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

1.	蒲丹, 舒明蓉, 張衛東, 等. 綜合ICU醫院感染目標性監測分析[J]. 西部醫學, 2011, 23(12):12-23.
2.	彭蓉, 邢晉苓, 朱衛國. 重癥監護病房醫院感染監測目標監測結果分析及對策[J]. 華西醫學, 2013, 28(8):1179-1181.
3.	中華人民共和國衛生部. WS/T 312-2009醫院感染監測規范[S]. 2009.
4.	中華人民共和國衛生部. 醫院感染診斷標準(試行)[J]. 中華醫學雜志, 2001, 81(5):314-320.
5.	徐麗華, 錢培芬. 重癥護理學[M]. 北京:人民衛生出版社, 2008:26-33.
6.	肖永紅, 王進. 2006-2007年Mohnarin ICU病原菌耐藥性監測[J]. 中華醫院感染學雜志, 2008, 18(9):1223-1227.
7.	年華, 褚云卓, 王倩. ICU與非ICU病房致病病原菌譜及耐藥分析[J]. 中國公共衛生, 2007, 23(12):1516-1517.
8.	陳瓊娜, 李艷波, 陳浙華, 等. 重癥監護病房醫院感染病原菌分布及耐藥性分析[J]. 中華醫院感染學雜志, 2007, 17(4):399-400.
9.	宋青, 周飛虎, 王秀英. 重癥監護病房細菌分布與變遷分析[J]. 中華醫院感染學雜志, 2006, 16(9):1072-1074.
10.	蒲丹, 張衛東, 譚成, 等. ICU呼吸機相關肺炎141例調查分析[J]. 中華肺部疾病雜志, 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.	李華茵, 何禮賢, 胡必杰. 等. 重癥監護病房呼吸機相關肺炎臨床與病原學分析[J]. 中國呼吸與危重監護雜志, 2005, 4(4):266-270.
14.	劉坤, 袁曉寧, 武迎宏, 等. 北京市三級醫院ICU醫院感染目標性監測分析[J]. 中華醫院感染學雜志, 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.	章華萍, 張玉琴, 鄭丹. 綜合性ICU醫院感染目標性監測分析[J]. 中華醫院感染學雜志, 2011, 21(1):49-51.
17.	母紹瓊, 曾玲, 陳蓉. ICU醫院感染相關因素調查分析研究[J]. 中華醫院感染學雜志, 2012, 22(22):5001-5002.
18.	牟玉英, 王新, 李君. 不同病區醫護手監測調查與分析[J]. 中華醫院感染學雜志, 2003, 13(5):440-441.

1. 蒲丹, 舒明蓉, 張衛東, 等. 綜合ICU醫院感染目標性監測分析[J]. 西部醫學, 2011, 23(12):12-23.
2. 彭蓉, 邢晉苓, 朱衛國. 重癥監護病房醫院感染監測目標監測結果分析及對策[J]. 華西醫學, 2013, 28(8):1179-1181.
3. 中華人民共和國衛生部. WS/T 312-2009醫院感染監測規范[S]. 2009.
4. 中華人民共和國衛生部. 醫院感染診斷標準(試行)[J]. 中華醫學雜志, 2001, 81(5):314-320.
5. 徐麗華, 錢培芬. 重癥護理學[M]. 北京:人民衛生出版社, 2008:26-33.
6. 肖永紅, 王進. 2006-2007年Mohnarin ICU病原菌耐藥性監測[J]. 中華醫院感染學雜志, 2008, 18(9):1223-1227.
7. 年華, 褚云卓, 王倩. ICU與非ICU病房致病病原菌譜及耐藥分析[J]. 中國公共衛生, 2007, 23(12):1516-1517.
8. 陳瓊娜, 李艷波, 陳浙華, 等. 重癥監護病房醫院感染病原菌分布及耐藥性分析[J]. 中華醫院感染學雜志, 2007, 17(4):399-400.
9. 宋青, 周飛虎, 王秀英. 重癥監護病房細菌分布與變遷分析[J]. 中華醫院感染學雜志, 2006, 16(9):1072-1074.
10. 蒲丹, 張衛東, 譚成, 等. ICU呼吸機相關肺炎141例調查分析[J]. 中華肺部疾病雜志, 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. 李華茵, 何禮賢, 胡必杰. 等. 重癥監護病房呼吸機相關肺炎臨床與病原學分析[J]. 中國呼吸與危重監護雜志, 2005, 4(4):266-270.
14. 劉坤, 袁曉寧, 武迎宏, 等. 北京市三級醫院ICU醫院感染目標性監測分析[J]. 中華醫院感染學雜志, 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. 章華萍, 張玉琴, 鄭丹. 綜合性ICU醫院感染目標性監測分析[J]. 中華醫院感染學雜志, 2011, 21(1):49-51.
17. 母紹瓊, 曾玲, 陳蓉. ICU醫院感染相關因素調查分析研究[J]. 中華醫院感染學雜志, 2012, 22(22):5001-5002.
18. 牟玉英, 王新, 李君. 不同病區醫護手監測調查與分析[J]. 中華醫院感染學雜志, 2003, 13(5):440-441.

Previous Article
Targeted Supervision and Analysis of Surgical Site Infection
Next Article
Prevalence Rate of Nosocomial Infection from 2011 to 2013

West China Medical Journal

Targeted Surveillance of Nosocomial Infection in Intensive Care Unit

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content