A Prospective Study of Non-catheter-related Hospital Infection in Intensive Care Unit_West China Medical Journal

Authors：

 ZHUShi-chao ¹ , YINWei-jia ¹ , QIAOFu ¹ , ZHANGHui ¹ , LIJing-wen ¹ , CAILin ² , TANGLi ² ,  ZONGZhi-yong ^1,3

1. Department of Nosocomial Infection, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Intensive Care Unit, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Infectious Disease Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

ZONGZhi-yong, Email: zongzhiy@scu.edu.cn

Keywords：

Intensive care unit; Hospital infection; Target monitoring; Non-catheter-related infection

DOI：

10.7507/1002-0179.20150648

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Objective To analyze and discuss the importance of non-catheter-related hospital infection in intensive care unit (ICU). Method A prospective target monitoring of all the patients in the general ICU was carried out from January 2011 to December 2013. The hospital infection cases grouped by infection types were analyzed with SPSS 17.0. Results A total of 5 364 patients were monitored, 455 of whom had hospital infections totaled 616 times. The hospital infection rate was 11.5%. The amount and constituent ratio of the catheter-related infections showed a declining trend year by year, while the non-catheter-related infections revealed an escalating trend year by year. In these 455 patients, the mixed infection group had the longest hospital stay, followed by the catheter-related infection group and the non-catheter-related infection group (P<0.05). The catheter-related infection group had higher crude mortality rate than both of the mixed infection group and the non-catheter-related infection group (P<0.017). Conclusions Non-catheter-related infections which get higher and higher proportion in ICU hospital infections should be paid more attention to, while catheter-related infections which could prolong hospitalization and increase the risk of death in ICU patients, remain the focus of the target monitoring of hospital infection in ICU.

Citation： ZHUShi-chao, YINWei-jia, QIAOFu, ZHANGHui, LIJing-wen, CAILin, TANGLi, ZONGZhi-yong. A Prospective Study of Non-catheter-related Hospital Infection in Intensive Care Unit. West China Medical Journal, 2015, 30(12): 2262-2265. doi: 10.7507/1002-0179.20150648 Copy

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2. 张伟群, 彭芳明. 3年综合性医院医院感染分析[J]. 中华医院感染学杂志, 2009, 19(2):151-153.
3. 刘薇, 李禄俊, 龙云. 综合性医院住院患者医院感染相关因素调查分析[J]. 中华医院感染学杂志, 2014, 24(13):3214-3216.
4. 艾源, 张弢, 任晓辉. 我国医院感染现状与控制的进展[J]. 中华医院感染学杂志, 2015, 25(5):1198-1200.
5. 周旋, 黄国玺, 陈晓霞, 等. 重症监护病房医院感染目标性监测与干预效果分析[J]. 重庆医科大学学报, 2013, 38(7):729-732.
6. 狄韵漫. 综合ICU医院感染监测的效果分析[J]. 华西医学, 2010, 25(5):994-995.
7. 吕宇, 刘华, 王慧, 等. 神经外科重症监护病房医院感染目标性监测分析[J]. 华西医学, 2014, 29(10):1908-1911.
8. 向丽佳, 宋晓英, 郑晓红, 等. 综合重症监护病房医院感染目标性监测分析[J]. 华西医学, 2014, 29(3):432-435.
9. 中华人民共和国卫生部. WS/T 312-2009医院感染监测规范[S]. 2009.
10. 中华人民共和国卫生部. 医院感染诊断标准(试行)[J]. 中华医学杂志, 2001, 81(5):314-320.
11. 李喜元, 尹吉东, 王东信. 呼吸机相关性肺炎的流行病学研究[J]. 中华医院感染学杂志, 2013, 23(22):5638-5640.
12. Rosenthal VD, Maki DG, Salomao R, et al. Device-associated nosocomial infections in 55 intensive care units of 8 developing countries[J]. Ann Intern Med, 2006, 145(8):582-591.
13. 茅一萍, 韩方正, 周宏, 等. ICU导管相关性感染目标性监测分析[J]. 中华医院感染学杂志, 2012, 22(12):2506-2508.
14. 胡银燕. 重症监护病房医院感染目标性监测探讨[J]. 中国现代医药杂志, 2013, 15(6):32-35.
15. 许川, 熊薇. 22所医院ICU医院感染目标性监测结果分析[J]. 现代预防医学, 2013, 40(18):3432-3434.
16. 姜振环, 高洋, 赵润泽, 等. 重症监护病房导管感染的目标性监测与医院感染相关性研究[J]. 黑龙江医药科学, 2013(3):113.

West China Medical Journal

A Prospective Study of Non-catheter-related Hospital Infection in Intensive Care Unit

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