【摘要】：目的探討醫(yī)院神經(jīng)外科重癥監(jiān)護(hù)病房(NSICU)目標(biāo)性監(jiān)測,了解NSICU感染現(xiàn)狀,為提高NSICU感染管理水平提供科學(xué)依據(jù)。方法選取2012年1-12月入住NSICU的240例患者作為研究對象,按照2009年國家衛(wèi)生部頒發(fā)的《感染監(jiān)測規(guī)范》對NSICU進(jìn)行目標(biāo)性監(jiān)測;利用醫(yī)院感染監(jiān)控管理軟件對監(jiān)測資料進(jìn)行匯總分析,采用SPSS 13.0軟件對監(jiān)測數(shù)據(jù)進(jìn)行統(tǒng)計處理。結(jié)果 240例患者共發(fā)生感染65例、72例次,感染率為27.1%、例次感染率30.0%;日感染率為17.2‰;NSICU感染部位以下呼吸道感染和泌尿系感染為主,分別占68.1%和19.4%;全年NSICU接受侵入性操作患者共4 456例,其中呼吸機(jī)相關(guān)性肺炎發(fā)病率為70.1‰,導(dǎo)尿管相關(guān)泌尿道感染發(fā)病率為4.9‰,血管導(dǎo)管相關(guān)性血流感染發(fā)病率為3.3‰;240例患者送檢標(biāo)本103份,標(biāo)本送檢率42.9%,送檢標(biāo)本以痰液為主,占63.1%;共分離出病原菌81株,其中革蘭陽性菌32株,占39.5%,以金黃色葡萄球菌為主,革蘭陰性菌43株,占53.1%,以鮑氏不動桿菌為主;真菌6株,占7.4%,以白色假絲酵母菌為主。結(jié)論呼吸機(jī)相關(guān)性肺炎和泌尿插管相關(guān)泌尿道感染為NSICU的主要感染方式,主要病原菌為金黃色葡萄球菌和鮑氏不動桿菌,所以NSICU應(yīng)重點加強對使用呼吸機(jī)及泌尿道插管患者的管理和監(jiān)控,制定有效對策,減少NSICU感染的發(fā)生。
[Abstract]:Objective to explore the objective monitoring of (NSICU) in intensive care unit of neurosurgery in hospital, to understand the present situation of NSICU infection and to provide scientific basis for improving the management level of NSICU infection. Methods 240 patients who were admitted to NSICU from January to December 2012 were selected as the research objects, and NSICU was monitored according to the "infection Surveillance Standard" issued by Ministry of Health in 2009, and the monitoring data were collected and analyzed by the software of nosocomial infection monitoring and management. The monitoring data were statistically processed by SPSS 13.0 software. Results among 240 patients, 65 cases (72 times) were infected, the infection rate was 27.1, the infection rate was 30.00.The daily infection rate was 17.2 鈥，

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