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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1. 張驥, 王翀, 李琦, 等. 2010年貴州省108所醫院感染感染率調查分析[J]. 中華醫院感染學雜志, 2011, 21(24):5162-5164.
2. 張偉群, 彭芳明. 3年綜合性醫院醫院感染分析[J]. 中華醫院感染學雜志, 2009, 19(2):151-153.
3. 劉薇, 李祿俊, 龍云. 綜合性醫院住院患者醫院感染相關因素調查分析[J]. 中華醫院感染學雜志, 2014, 24(13):3214-3216.
4. 艾源, 張弢, 任曉輝. 我國醫院感染現狀與控制的進展[J]. 中華醫院感染學雜志, 2015, 25(5):1198-1200.
5. 周旋, 黃國璽, 陳曉霞, 等. 重癥監護病房醫院感染目標性監測與干預效果分析[J]. 重慶醫科大學學報, 2013, 38(7):729-732.
6. 狄韻漫. 綜合ICU醫院感染監測的效果分析[J]. 華西醫學, 2010, 25(5):994-995.
7. 呂宇, 劉華, 王慧, 等. 神經外科重癥監護病房醫院感染目標性監測分析[J]. 華西醫學, 2014, 29(10):1908-1911.
8. 向麗佳, 宋曉英, 鄭曉紅, 等. 綜合重癥監護病房醫院感染目標性監測分析[J]. 華西醫學, 2014, 29(3):432-435.
9. 中華人民共和國衛生部. WS/T 312-2009醫院感染監測規范[S]. 2009.
10. 中華人民共和國衛生部. 醫院感染診斷標準(試行)[J]. 中華醫學雜志, 2001, 81(5):314-320.
11. 李喜元, 尹吉東, 王東信. 呼吸機相關性肺炎的流行病學研究[J]. 中華醫院感染學雜志, 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, 韓方正, 周宏, 等. ICU導管相關性感染目標性監測分析[J]. 中華醫院感染學雜志, 2012, 22(12):2506-2508.
14. 胡銀燕. 重癥監護病房醫院感染目標性監測探討[J]. 中國現代醫藥雜志, 2013, 15(6):32-35.
15. 許川, 熊薇. 22所醫院ICU醫院感染目標性監測結果分析[J]. 現代預防醫學, 2013, 40(18):3432-3434.
16. 姜振環, 高洋, 趙潤澤, 等. 重癥監護病房導管感染的目標性監測與醫院感染相關性研究[J]. 黑龍江醫藥科學, 2013(3):113.

West China Medical Journal

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

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