Monitoring and Management on Nosocomial Infection in ICU
Author(s): SHAO Qian
Pages: 78-80
Year: 2015 Issue: 6
Journal: Hospital Management Forum
Keyword: ICU; Nosocomial infection; Nursing intervention;
Abstract: Objective To study the main reasons of ICU infection in our hospital, and put forward effective nursing interventions.Methods Retrospective analysis on the clinical data of 1255 cases from January to December in 2013 in ICU department was made.Results 338 cases out of 1255 patients occurred nosocomial infection with incidence rate of 26.93%. In the 338 cases of nosocomial infection, 301 cases were single bacterial infection (89.05%). 37 cases were mixed infection (10.95%). A total of 379 strains of bacteria were found, including 116 strains of fungi (30.61%), 88 strains of staphylococcus aureus (23.22%), 67 strains of pseudomonas aeruginosa (17.68%), 55 strains of escherichia coli (14.51%), 43 strains of klebsiella pneumoniae (11.35%) and 10 other strains (2.64%). In 338 cases of nosocomial infection, 325 cases were single site infection (96.15%). 13 cases were multiple sites infection (3.85%). A total of 353 sites were infected, including 149 cases of lower respiratory tract (42.21%), 95 cases of urinary system (26.91%), 47 cases of gastrointestinal tract (13.31%), 39 cases of upper respiratory tract (11.05%) and other 23 cases (6.52%) The nosocomial infection incidence between different genders was of no significant difference (P > 0.05), but it had statistical significance different age groups and different acute physiology and chronic health (APACHE- II) groups (P < 0.05). Conclusion Nosocomial infection in our ICU department in 2013 was relevant with patients' age, basic diseases, severity of illness etc.. As for this issue, disease control, rational use of antibiotics, strict sterile operation, strengthening ICU management are important means to control the incidence of nosocomial infection.
Pages: 78-80
Year: 2015 Issue: 6
Journal: Hospital Management Forum
Keyword: ICU; Nosocomial infection; Nursing intervention;
Abstract: Objective To study the main reasons of ICU infection in our hospital, and put forward effective nursing interventions.Methods Retrospective analysis on the clinical data of 1255 cases from January to December in 2013 in ICU department was made.Results 338 cases out of 1255 patients occurred nosocomial infection with incidence rate of 26.93%. In the 338 cases of nosocomial infection, 301 cases were single bacterial infection (89.05%). 37 cases were mixed infection (10.95%). A total of 379 strains of bacteria were found, including 116 strains of fungi (30.61%), 88 strains of staphylococcus aureus (23.22%), 67 strains of pseudomonas aeruginosa (17.68%), 55 strains of escherichia coli (14.51%), 43 strains of klebsiella pneumoniae (11.35%) and 10 other strains (2.64%). In 338 cases of nosocomial infection, 325 cases were single site infection (96.15%). 13 cases were multiple sites infection (3.85%). A total of 353 sites were infected, including 149 cases of lower respiratory tract (42.21%), 95 cases of urinary system (26.91%), 47 cases of gastrointestinal tract (13.31%), 39 cases of upper respiratory tract (11.05%) and other 23 cases (6.52%) The nosocomial infection incidence between different genders was of no significant difference (P > 0.05), but it had statistical significance different age groups and different acute physiology and chronic health (APACHE- II) groups (P < 0.05). Conclusion Nosocomial infection in our ICU department in 2013 was relevant with patients' age, basic diseases, severity of illness etc.. As for this issue, disease control, rational use of antibiotics, strict sterile operation, strengthening ICU management are important means to control the incidence of nosocomial infection.
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