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

Authors：

 LüYu , LIUHua , WANGHui , WUJia-yu , WEIDao-qiong , ZHOUZhong-hua , DAIMin ,  XIANGQian

Nosocomial Infection Management Center, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, Sichuan 610072, P. R. China;

Corresponding?author：

XIANGQian, Email: 3all@163.com

Keywords：

Neurosurgical intensive care unit; Nosocomial infections; Targeted surveillance

DOI：

10.7507/1002-0179.20140575

Video：

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Objective To analyze targeted surveillance results of nosocomial infection in Neurosurgical Intensive Care Unit (ICU) and investigate the characteristics of nosocomial infection, in order to provide reference for constituting the intervention measures. Methods We monitored the incidence of nosocomial infection, the application and catheter-related infection of invasive operation, and the situation of multiple resistant bacteria screening and drug resistance characteristics of each patient who stayed more than two days in neurosurgical ICU during January to December 2013. Results There were a total of 1 178 patients, and the total ICU stay was 4 144 days. The nosocomial infection rate was 4.92%, and the day incidence of nosocomial infection was 13.75‰. The nosocomial infection rate was significantly higher in January and between July and December compared with other months. Ventilator utilization rate was 9.75%; ventilator-associated pneumonia incidence density was 14.85 per 1 000 catheter-days; central line utilization rate was 28.40%; central line-associated bloodstream infection incidence density was 0.85 per 1 000 catheter-days; urinary catheter utilization rate was 97.90%; and the incidence density of catheter-associated urinary tract infection was 0.25 per 1 000 catheter-days. Conclusion The nosocomial infection rate has an obvious seasonal characteristic in neurosurgical intensive care unit, so it is necessary to make sure that the hospital infection control full-time and part-time staff should be on alert, issue timely risk warning, and strengthen the risk management of hospital infection.

Citation： LüYu, LIUHua, WANGHui, WUJia-yu, WEIDao-qiong, ZHOUZhong-hua, DAIMin, XIANGQian. Targeted Surveillance of Nosocomial Infection in Neurosurgical Intensive Care Unit. West China Medical Journal, 2014, 29(10): 1908-1911. doi: 10.7507/1002-0179.20140575 Copy

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1. 任南, 文細毛. 全國醫院感染監控網2012年度醫院感染監測報告[R]. 醫院感染監控信息, 2013, 27(1-2):2.
2. 中華人民共和國衛生部. WS/T 312-2009醫院感染監測規范[S]. 2009.
3. 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.
4. 朱愛萍, 朱彥, 王新民, 等. 多重耐藥菌感染監測與預防控制措施[J]. 醫藥論壇雜志, 2010, 31(20):175-176.
5. 王宏沛, 孟靈, 王鴻瑋, 等. 多重耐藥菌監測與易感因素的臨床研究[J]. 蘭州大學學報·醫學版, 2005, 31(2):55-56.
6. 孫曉, 張平, 華衛紅, 等. 多重耐藥菌醫院感染相關因素與控制[J]. 現代醫藥衛生, 2009, 25(16):2535-2536.
7. McDonald LC, Banerjee SN, Jarvis WR. Seasonal variation of acinetobacter infections:1987-1996[J]. Clin Infect Dis, 1999, 29(5):1133-1137.
8. 王樞群, 張邦燮. 醫院感染學[M]. 重慶:科學技術文獻出版社重慶分社, 1990:50-83.
9. 蔣國欽. ICU病人鮑曼不動桿菌定植的流行病學特征及危險因素探討[D]. 蘇州:蘇州大學, 2011.
10. Fournier PE, Richet H. The epidemiology and control of Acinetobacter baumannii in health care facilities[J]. Clin Infect Dis, 2006, 42(5):692-699.
11. 章華萍, 張玉琴, 鄭丹, 等. 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.
12. 程國雄, 姚謙明, 何啟, 等. 神經外科ICU醫院內感染臨床分析[J]. 實用醫學雜志, 2009, 25(9):1468-1469.
13. 劉華, 羅蓓蓓. ICU醫院感染多重耐藥菌類型、耐藥性及感染相關因素研究[J]. 實用醫院臨床雜志, 2009, 6(3):140-142.
14. 李文郎, 唐恒鋒, 王文杰, 等. 神經外科ICU與普通神經外科醫院感染病原菌及耐藥性對比研究[J]. 中國醫藥導刊, 2011, 13(11):1957-1958, 1939.
15. 向麗佳, 宋曉英, 鄭曉紅, 等. 綜合重癥監護病房醫院感染目標性監測分析[J]. 華西醫學, 2014, 29(3):432-435.
16. 文細毛, 任南, 吳安華, 等. 全國醫院感染監控網細菌耐藥情況及變化趨勢[J]. 中國感染控制雜志, 2009, 8(6):389-396, 408.
17. 劉利君, 羅鑫, 鄭動, 等. 我院2012年醫院感染病原菌分布及耐藥性分析[J]. 中國藥房, 2013, 24(30):2832-2835.
18. 錢麗華, 童瑞琦, 謝家政, 等. 神經外科患者醫院感染調查分析[J]. 中華醫院感染學雜志, 2012, 22(9):1803-1804.
19. 張淑平, 譚慕楊. 風險管理在醫院感染管理中的應用與效果分析[J]. 華西醫學, 2012, 27(1):129-131.

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Targeted Surveillance of Nosocomial Infection in Neurosurgical Intensive Care Unit

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