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重症监护病房医院感染目标监测结果分析及对策

目的　探讨医院重症监护病房（ICU）院内感染特点及高危因素。 方法　按照原卫生部发布的WS/T 312－2009 《医院感染监测规范》，对2010年－2012年入住ICU时间＞48 h的患者进行目标性监测，监测时间每年6个月，分析发生医院感染的相关危险因素，并对3年的数据进行分析，从中找到不足之处及时采取措施整改。 结果　监测301例次，发生医院感染分别为：2010年9例次、2011年6例次、2012年5例次，感染率分别为11.11%、6.74%、3.82%，呈逐年下降趋势，医院感染部位以泌尿道感染最高，其次为下呼吸道。 结论　切实可行的目标监测手段对预防与控制ICU患者医院感染起着重要的作用。

监测在医院感染预防与控制中的作用

Target Monitoring and Analysis of Ventilator-associated Pneumonia in Intensive Care Unit

ObjectiveTo observe the effect of target monitoring on the patients with ventilator-associated pneumonia (VAP) in intensive care unit (ICU), analyze the risk factors and take effective measures to reduce the VAP occurrence. MethodsTarget monitoring was performed on patients with ventilator in ICU from January to July 2013 (observation group), and they were compared with those patients accepting general comprehensive monitoring in ICU from January to July 2012 (control group). The incidence of VAP was compared between the two groups. ResultsThe incidence of VAP in the observation group and the control group was 21.73‰ and 53.33‰, respectively. There was a significant difference between the observation group and the control group (P<0.05). ConclusionFor patients undergoing mechanical ventilation, target monitoring can control the risk factors and incidence of VAP, adjust the interference in time, and improve the curing rate.