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.
作者
游颖琦
王荷生
朱丁
YOU Ying-qi;WANG He-sheng;ZHU ding(Wuxi Center for Disease Control and Prevention,Wuxi Jiangsu 214023,China)
出处
《中国消毒学杂志》
CAS
2019年第6期443-445,共3页
Chinese Journal of Disinfection
关键词
重症监护病房
医院感染
多重耐药菌
手消毒
intensive care unit
nosocomial infection
multidrug-resistant bacteria
hand disinfection
