无锡市10家医院ICU环境与医院感染现状调查

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英文篇名：Investigation on environmental factors and nosocomial infection in ICU of 10 hospitals in Wuxi 作者：游颖琦 ; 王荷生 ; 朱丁 英文作者：YOU Ying-qi;WANG He-sheng;ZHU ding;Wuxi Center for Disease Control and Prevention; 关键词：重症监护病房 ; 医院感染 ; 多重耐药菌 ; 手消毒 英文关键词：intensive care unit;;nosocomial infection;;multidrug-resistant bacteria;;hand disinfection 中文刊名：ZGXD 英文刊名：Chinese Journal of Disinfection 机构：无锡市疾病预防控制中心; 出版日期：2019-06-15 出版单位：中国消毒学杂志 年：2019 期：v.36;No.214 语种：中文; 页：ZGXD201906014 页数：3 CN：06 ISSN：11-2672/R 分类号：49-51

摘要

目的了解医院重症监护病房(ICU)环境卫生管理及住院患者医院感染情况。方法采用现场调查和医院感染监测方法,对无锡市10家医院ICU住院患者医院感染现状及其环境因素进行调查。结果 10家医院ICU 2年共有患者7 429例,发生医院感染718例,医院感染率9. 66%,其中三级和二级医院ICU患者医院感染率分别为10. 53%和8. 60%。三级医院ICU高频接触物体表面清洁消毒覆盖率均达到100%。多数医院ICU都配备床边洗手和干手设施,手消毒剂以含醇类为主。结论所调查ICU患者医院感染率较高,医院感染中多重耐药菌比例较高,高频接触物体表面和医务人员手消毒比较重视。
        Objective To understand the environmental health management of hospital intensive care unit( ICU) and the nosocomial infection of inpatients. Methods On-site investigation and nosocomial infection monitoring was used to investigate the nosocomial infection status and environmental factors of ICU inpatients in 10 hospitals in Wuxi. Results 7 429 patients were treated in ICU of 10 hospitals within two years,with 718 had nosocomial infections and the infection rate was9. 66%. The nosocomial infection rate of ICU patients in tertiary hospitals was 10. 53%,and that of ICU patients in secondary hospitals was 8. 60%. The cleaning and disinfection coverage rate of high-frequency contact surfaces in ICU of tertiary hospitals reached 100%. Most ICUs were equipped with bedside hand washing facilities,mainly were alcohol-containing hand disinfectants. Conclusion The nosocomial infection rate of ICU patients was high,and the proportion of multi-drug resistant bacteria was high in nosocomial infection. High frequency contact with surface of objects and hand disinfection of medical personnel should be paid more attention.

引文

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