目的 研究冠心病监护病房（CCU）患者医院感染状况及其影响因素,为CCU预防医院感染提供依据。方法 通过临床观察和资料调查方法,对海南省人民医院CCU住院患者医院感染情况进行调查,利用多因素分析方法研究影响医院感染的相关因素。结果 该CCU在连续2年时间内共入住患者1285例,发生医院感染165例,感染率为12.84%。感染部位以下呼吸道为主,占57.58%。引起CCU患者医院感染的主要因素是高龄,心功能不全,机械通气、深动静脉留置导管以及留置尿管等。结论 该医院CCU患者医院感染发生率较高,心功能不全和侵入性操作构成主要影响因素,消毒隔离和无菌操作为重点防控措施。
Objective To investigate the situations of the hospital - acquired infection on patients who undergo intensive care in Coronary Care Unit （GCU） and to study the risk factors,so as to provide the basis for CCU to prevent nosocomial in- fection. Methods Investigations of infection on inpatients in CCU, from the People＇s Hospital in Hainan Province,were ear- tied out through clinical observation and material survey. Then multi - factor analysis was processed to explore its related in- fluential factors. Results There were 165 cases occurring hospital - acquired infections among the total 1 285 inpatients in CCU in 2 consecutive years,with the infection rate being 12. 84%. The major infection site was the lower respiratory tract, accounting for 57. 58%. What＇s more ,the main factors of nosocomial infection on inpatients were advanced age, cardiac dys- function, mechanical ventilation, deep venous catheterization, catheter and so on. Conclusion The nosocomial infection rate among the CCU inpatients in the hospital is high. Cardiac insufficiency and invasive procedures constitute the main in- fluencing factors. So disinfection and isolation, as well as aseptic technique are quite necessary to make our preventive meas- ures effective.
Chinese Journal of Disinfection
coronary care unit
hospital - acquire infection