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Prevalence Study and Influence Factors of Nosocomial Infection in ICU of the Hospital in Jincheng Anthracite Mining Group

Author: ChenHongPing
Tutor: QuChengYi；LiuMin
School: Shanxi Medical
Course: Epidemiology and Biostatistics,
Keywords: Hospital Infection ICU Influencing factors
CLC: R181.3
Type: Master's thesis
Year: 2010
Downloads: 92
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Abstract


Objective: Through the intensive care unit (Intansive Care Uite ICU) of hospital infection (nosocomial Infection NI) status quo and its impact factors of 1) to understand the incidence and site of infection the ICU inpatient hospital infection; 2) to understand the hospital ICU infection pathogen distribution and drug resistance characteristics, and provide a scientific basis to guide the rational use of antimicrobial drugs; 3) to explore the impact of ICU nosocomial infection risk factors. Methods: Refer to the Ministry of Health hospital infection surveillance norms \prospective monitoring, fill out the a unified questionnaire survey content including the general content and hospital infection-related factors content. Hospital infection diagnostic criteria of the Ministry of Health of the People's Republic of China \All data application the SPSS13.0 software processing, inspection level α = 0.05. Results: ICU hospital infection rate 11.23%; 16.44% of the cases the incidence of infection; infected parts of the top three for the respiratory tract, surgical incisions, and skin and soft tissue, the highest respiratory infections, accounting for 50.00%. Ventilator-associated pneumonia (VAP) accounted for 56.67% of respiratory infections; nosocomial infection pathogens mainly Gram-negative (G-) bacilli, accounting for 81.25%; remaining Gram-positive cocci (G) 10.94%: fungi 7.81%. G-bacilli in the top three Pseudomonas aeruginosa, Acinetobacter baumannii and Escherichia coli; G-bacilli to imipenem, meropenem, and piperacillin / tazobactam keep high sensitivity, while the other antibacterials with different levels of resistance; hospital infection related factors univariate analysis results show: emergency surgery, tracheotomy, deep venous catheter, duration of ICU stay, duration of mechanical ventilation and ICU admission The condition is the ICU infections associated factors (P lt; 0.05). Logistic regression multivariate analysis results show that the duration of ICU stay and mechanical ventilation time an independent risk factor for hospital infections. Conclusion: The high incidence of ICU hospital infection, higher than the general ward, should strengthen the prevention and control of hospital infection, thereby reducing the overall level of hospital infections ICU. ICU Hospital, the site of infection, respiratory tract remains, should be actively taken a number of measures to reduce the incidence of ventilator-associated pneumonia (VAP). ICU hospital infection pathogens mainly Gram-negative (G-) bacilli, varies due to the site of infection, multi-drug-resistant strains, pathogen variation should have a rational use of antibiotics as a guide for ICU, reduce bacterial resistance generated. Should adopt comprehensive measures for the prevention and treatment of ICU hospital infection and improve the quality of medical care, to protect patient safety.

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CLC: > Medicine, health > Preventive Medicine,Health > Epidemiology and Prevention of Disease > Epidemiology of the basic theory and methods > Special epidemiological each
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