Page 13 - 麻醉与监护论坛2015年第11期

Experience of Objective Monitoring Management of Nosocomial
Infection in ICU Ward

Jun Liu, Jiang Hao, Ge-yuan Bian, Ji-shen Luo, Qi Weng

Department of Emergency ICU, Kunming General Hospital of Chinese People's Liberation Army, 650032

Abstract

Objective: Through targeted monitoring to understand the infection status of ICU ward, prevention and control of hospital infection, so as to reduce
the incidence of hospital infection.

Methods: ICU unit for each hospital patients with catheter-related infection monitoring registration, each month and each year for statistical analysis
of the monitoring results, a month to convene a meeting of infection control, carries on the analysis to the result of infection, such as the relevant solution
is discussed what kind of catheter infection rate increased, according to the target monitoring and adjusting treatment.

Results: After monitoring and management of hospital infections, ventilator-associated pneumonia in ICU, central venous catheter-related
bloodstream infection, catheter associated urinary tract infection rate decreased year by year, and achieved good results.

Conclusion: Targeted monitoring can effectively control hospital infection in ICU ward of digital hospital; can reduce the incidence of hospital
infection.

Key Words: Intensive care unit (ICU); Hospital infection; Target monitoring
Corresponding Author: Jiang Hao, E-mail: newjimcn@hotmail.com

In the ICU, because of the hospitalized patients with adjusting our treatment.
serious illness in general, not activities and prolonged The specific case: Zhu Yue, male, 33 years old,
hospital stay; and patients with coma, there is phlegm,
voiding dysfunction, and tracheotomy, deep venous because the neck injury, leading to cervical spine fracture,
catheter, indwelling catheter patients a lot, thus causing completely paralyzed limbs. Patients with respiratory failure
hospital infections rather serious[1]. According to statistics, after injury, immediately, accompanied by pulmonary
in 2008 in ICU of our hospital, the incidence of ventilator- infection, we give him to the ventilator. Patients in the
associated pneumonia was 280‰, central venous catheter- treatment process have been interrupted fever, sputum
related bloodstream infection rate was 50‰, catheter- weakness, the need of mechanical assisted expectoration,
related urinary tract infection rate was 116.7‰.The multiple sputum culture showed multiple drug resistance of
incidence rate of hospital infection, causing high mortality, bacteria and fungi. We analyze the detection of patients with
high costs. Since 2008, our hospital ward ICU through table, prompting mainly for respiratory tract infections; we
targeted monitoring to understand the infection status of consider the main problem lies in patients with respiratory
ICU ward, formulation of hospital infection prevention and tract sputum is not smooth, ventilator tube closed; the
control measures, so as to reduce the incidence of hospital positive analysis of monitoring form infection patients, we
infection, and achieved good results. have adopted a variety of measures, to carry out the target
monitoring, regular assessment of infection changes.
Methods
Specific measures: 1, artificial airway patients proper
From 2008 January to 2013 January, we performed posture (15-30º); 2, strict indications; 3, sputum strict
catheter related infection monitoring registration for each aseptic operation; 4, ventilation pipe, an atomizer high-
of the ICU patients (see Table 1), registered a total of 2450 level disinfection, pipe replaced weekly; 5, regular oral care
cases, male 1678 cases, female 772 cases; we daily details:
indwelling catheter, tracheal intubation, deep venous Table 1 Monitoring of ICU catheter-related infections in
cannula, and infection, bacterial culture results; each month
and year the results of the monitoring were collected and Kunming General Hospital
analyzed [2].The results were analyzed by SPSS10.0 software
and processing, draw a conclusion. A month to convene a Name: Gender: Age: Hospital number: ID: Bed: Diagnosis:
meeting of infection control carries on the analysis to the
result of infection. If the infection rate increased, discuss Date Deep vein Urine The result The result The highest white
relevant solutions, based on the target monitoring and Indwelling Tracheal indwelling culture of sputum of blood temperature blood
results culture cells
catheter intubation catheter culture
situation

1

2

3

4

……

Laboratory and Clinical Investigation 438 FAM 2013 Jan/Feb Vol.20 Issue 1