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Laboratory and Clinical Investigation

(two times daily); 6, daily assessment of whether weaning; nosocomial infection in ICU is very effective.
7, Objective monitoring, regular assessment of infection
changes, adjust according to changes in treatment. Discussion

After active treatment and control, patients with ICU infection control has been the emphasis and
pulmonary infection were controlled quickly. X review difficulty of ICU management, how to effectively carry out
of lung in good condition, successful weaning from the the infection control is the ICU staff has been pursuing the
ventilator. The ultimate success of patients with cervical goal. Compared with other departments of the hospital,
operation, cured. in ICU ward, ventilator-associated pneumonia, catheter-
related urinary tract infection rate is higher. We consider
Results the main reason: ICU ward patients with more serious
illness, coma and without spontaneous activity, breathing、
Through the monitoring and management of hospital swallowing and cough expectoration difficulties, activity
infection in ICU ward, ventilator-associated pneumonia, was inhibited, much longer time of indwelling catheter
central venous catheter-related bloodstream infection, and endotracheal intubation, invasive intubation airway
catheter associated urinary tract infection rate decreased mucosal barrier defense injury, ventilator closed pipeline
year by year, and achieved good results: (see Table 2, table 3) caused by bacteria in circulating retention, easy to cause
infection such as bacterial colonization. [3-4] The positive
Therefore, after compared with statistical significance, the analysis of the majority of patients with ICU, the suggestion
incidence of nosocomial infection was significant difference. according to the target monitoring table, take the positive
prevention and control measures such as artificial airway
Conclusion patients: proper posture (15-30º), strict indications, sputum
strict aseptic operation, ventilation pipe, atomizer high
From the monitoring form in recent years, we level disinfection, pipe replaced weekly, regular oral care,
can draw the conclusion: in ICU, ventilator-associated daily assessment of whether weaning, regular assessment of
pneumonia, central venous catheter-related bloodstream infection changes, adjust according to changes in treatment.
infection, catheter associated urinary tract infection rate Through these effective measures, can reduce the incidence
decreased year by year. Among them, ventilator-associated of hospital infection; improve the quality of medical
pneumonia from 280‰ in 2008 dropped to 80‰ now, treatment, more effective to save the patient's life.
central venous catheter-related bloodstream infection rate
from 50‰ in 2008 dropped to 19‰ now, catheter-related Table 3 Detection of indicators of emergency ICU quality (2012)
urinary tract infection rate from 116.7‰ in 2008 dropped to
33‰ now. After compared with statistical significance, the Month Ventilator-associated‰ Central venous catheter related Catheter-associated urinary
hospital infection rate changes have significant differences.
Therefore, the effect of monitoring and management of infection ‰ tract infection‰

1 166.7 25.7 39.1

2 155.2 22.4 38.9

Table 2 The quality indexes of emergency ICU (2008-2012) 3 130.6 26.7 46.2

4 138 18.2 35

Critically 5 121 21 32
ill patients
The incidence Catheter expected All kinds 6 115 17.5 39
of central related mortality of catheter
24/48 The incidence venous urinary Severe slippage Tracheal 7 107 22 38
hours of ventilator- catheter- tract and the casualty and then catheter
ICU related infection actual bedsore plug the herniation 8 98 21 33.8
return associated rate% mortality rate%
Year rate‰ pneumonia% hematogenous rate% rate% cases 9 93 19 33
infection%
10 95 20 32

11 89 18 31

12 83 19 33

10.00 Comparison of statistics in 2008 and 2012: X2=49.18 P<0.05
11.60
2008 1.33 280 50 116.7 0 8.00 1

2009 2.12 241.00 45.0 105.00 13.00 0.67 7.21 0 REFERENCES

9.87 [1] Liu Shengwen. Modern hospital infection control manual [M]. Beijing: press of Beijing Medical University,
2000: 19.
2010 1.24 136.00 34.00 92.00 12.33 0 6.03 2
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intensive care unit [J] .Chinese Journal of infection control, 2010, 9 (4): 285.
2011 0.98 99.00 35.00 89.00 15.53 0 6.52 1
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2012 0.85 95.00 19.00 33.00 14.87 0 5.97 0
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[5] Zhang Lili, Zuo Gaizheng. Objective monitoring and analysis and Countermeasures of nosocomial infection in
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