Targeted monitoring of nosocomial infection in comprehensive Intensive Care Unit in a tertiary general hospital_West China Medical Journal

Authors：

JIANG Dongping ,  GU Chengwu , LI Yanxia , LIANG Yuping

Nosocomial Infection Management Department, Suining Central Hospital, Suining, Sichuan 629000, P. R. China;

Corresponding?author：

GU Chengwu, Email: 43981232@qq.com

Keywords：

Intensive Care Unit; Nosocomial infection; Targeted monitoring; Multidrug-resistant bacteria

DOI：

10.7507/1002-0179.201702044

Video：

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Objective To investigate nosocomial infection rate in Intensive Care Unit (ICU), its risk factors and the pathogenic characteristics of multidrug-resistant bacteria through targeted monitoring, in order to provide scientific references for reducing nosocomial infection. Methods Targeted monitoring was performed on the patients who were admitted to the comprehensive ICU between July 2014 and June 2016. Results Nosocomial infection occurred in 312 of the 4 991 patients. The case infection rate was 6.25%, and case infection rate per day was 19.03‰. After the adjustment, the case infection rate per day was 6.77‰. The ventilator-associated pneumonia infection accounted for 30.78‰; catheter-related bloodstream infection occupied 0.30‰; and catheter-associated urinary tract infection accounted for 0.27‰. The respiratory tract was the major part of nosocomial infection, accounting for 90.38%. Gram-negative bacilli were the major bacteria accounting for 92.74%, in whichAcinetobacter baumannii accounted for 36.29%. Conclusions Through targeted monitoring to keep abreast of the current situation of nosocomial infection in ICU, management and interventions can be targeted. It is an important way to reduce nosocomial infection in ICU.

Citation： JIANG Dongping, GU Chengwu, LI Yanxia, LIANG Yuping. Targeted monitoring of nosocomial infection in comprehensive Intensive Care Unit in a tertiary general hospital. West China Medical Journal, 2017, 32(3): 361-365. doi: 10.7507/1002-0179.201702044 Copy

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9.	許川, 熊薇. 22 所醫院 ICU 感染目標性監測結果分析. 現代預防醫學, 2013, 40(18): 3432-3434.
10.	Dudeck MA, Horan TC, Peterson KD,et al. National healthcare safety network report, data summary for 2011, device-associated module. Am J Infect Control, 2013, 41(4): 286-300.
11.	Madani N, Rosenthal VD, Dendane T,et al. Health-care associated infections rates, length of stay, and bacterial resistance in an intensive care unit of Morocco: findings of the International Nosocomial Infection Control Consortium (INICC). Int Arch Med, 2009, 2(1): 29.
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13.	余虹. 某醫院呼吸機相關肺炎危險因素研究. 中國消毒學雜志, 2015, 32(4): 357-359.
14.	李耀軍, 文凌娟, 楊艷兵, 等. 45 例呼吸機相關性肺炎感染病原菌變遷及抗感染療效分析. 中華肺部疾病雜志:電子版, 2015, 8(3): 44-47.
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1. ?張亞英, 姜亦虹, 沈黎, 等. ICU 醫院感染目標性監測與干預研究. 中華醫院感染學雜志, 2012, 22(21): 4715-4717.
2. 任玲, 周宏, 鄭霞, 等. 醫院感染目標性監測與全面綜合性監測方法對比研究. 中華醫院感染學雜志, 2006, 16(9): 995-997.
3. 中華醫學會重癥醫學分會. 呼吸機相關性肺炎診斷、預防和治療指南 (2013). 中華內科雜志, 2013, 52(6): 524-543.
4. 陳佰義, 何禮賢, 胡必杰, 等. 中國鮑曼不動桿菌感染診治與防控專家共識. 中國醫藥科學, 2012, 2(8): 3-8.
5. 姜亦虹, 周宏, 李陽, 等. 2011 年江蘇省 140 所醫院 ICU 醫院感染目標性監測分析. 中華醫院感染學雜志, 2012, 22(21): 4712-4714.
6. 劉衛平, 田勇泉, 鄭志楠. 2013 年內蒙古自治區 28 所醫院 ICU 醫院感染目標性監測報告. 中國消毒學雜志, 2015, 32(7): 675-677.
7. 王嬌, 陳夢燕, 黃靜. 綜合性 ICU 醫院感染目標性監測結果分析. 中華醫院感染學雜志, 2015, 25(10): 2242-2243, 2264.
8. 張璐, 王玉青, 趙磊, 等. ICU 患者下呼吸道感染病原菌與耐藥性分析. 中華醫院感染學雜志, 2016, 26(14): 3161-3163.
9. 許川, 熊薇. 22 所醫院 ICU 感染目標性監測結果分析. 現代預防醫學, 2013, 40(18): 3432-3434.
10. Dudeck MA, Horan TC, Peterson KD,et al. National healthcare safety network report, data summary for 2011, device-associated module. Am J Infect Control, 2013, 41(4): 286-300.
11. Madani N, Rosenthal VD, Dendane T,et al. Health-care associated infections rates, length of stay, and bacterial resistance in an intensive care unit of Morocco: findings of the International Nosocomial Infection Control Consortium (INICC). Int Arch Med, 2009, 2(1): 29.
12. 李衛光, 秦成勇, 王一兵, 等. 山東省 12 所綜合醫院 ICU 醫院感染目標性監測分析. 中華醫院感染學雜志, 2009, 19(4): 384-386.
13. 余虹. 某醫院呼吸機相關肺炎危險因素研究. 中國消毒學雜志, 2015, 32(4): 357-359.
14. 李耀軍, 文凌娟, 楊艷兵, 等. 45 例呼吸機相關性肺炎感染病原菌變遷及抗感染療效分析. 中華肺部疾病雜志:電子版, 2015, 8(3): 44-47.
15. Bayram A, Balci I. Patterns of antimicrobial resistance in a surgical intensive care unit of a university hospital in Turkey. BMC Infect Dis, 2006, 6: 155.

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West China Medical Journal

Targeted monitoring of nosocomial infection in comprehensive Intensive Care Unit in a tertiary general hospital

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