| 초록 |
OBJECTIVE To investigate and analyze the reasons of nosocomial infection (NI) in patients in intensive care unit( ICU), to find effective countermeasures for preventing NI and reducing the incidence rate of NI in ICU, and to enhance the management of ICU. METHODS All data of patients who suffered MRSA in ICU from Dec 2005 to Feb 2006, were analyzed by prospective monitoring and retrospective studies. RESULTS The nine patients were with lower respiratory tract. All were infected by the same MRSA. The same MRSA strain was found from hand, mouth and nose among the treating doctor and nurses based on the sample-analysis. CONCLUSIONS The incidence rate of NI in ICU is much higher than that in other departments. Risk factors depend on the severity of underlying diseases, invasive procedure, the quality of disinfection and sterilization, the incorrect use of the antibiotic, and patientsr immunity status especially among elderly. The key way to reduce incidence rate of NI is to take comprehensive measures and strengthen the antibiotic management. |
