Đặc điểm về tỷ lệ các loại nhiễm khuẩn bệnh viện thường gặp và một số yếu tố liên quan tại khoa Hồi sức Tích cực Bệnh viện tỉnh Vĩnh Phúc=Characteristics of the prevalence of common nosocomial infections and some related factors at Vinh Phuc Hospital Intensive Care Unit

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Đức Quỳnh Nguyễn, Thị Vân Anh Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.77-83

Bộ sưu tập: Metadata

ID: 243469

Thêm vào giỏ

This study was conducted to determine the density of multiple types of nosocomial infections and related factors at Department of Intensive Care, Vinh Phuc province Hospital. Subject and method: This was a prospective, cross-sectional study on 320 patients treated for more than 48 hours at the Intensive Care Unit (ICU) of Vinh Phuc Province Hospital from January to September 2021. Result: Nosocomial infections mainly occurred in patients over 60 years old (64%) and had an incidence rate of 22.4/1000 days of hospital stay, in which ventilator-associated pneumonia (VAP) was the most common with 36.2/1000 days of mechanical ventilation (Device Use Intensity (DU) 0.4) followed by catheter-associated urinary tract infections (CAUTI) with 12.8/1000 days of urinary catheter retention (DU 0.5). There was a relationship between the incidence of VAP with severity (APACHE II) at admission, underlying hypertension, cerebrovascular accident, intravenous antibiotic use, previous blood transfusion and and hospital stay more than 7 days. CAUTI had an incidence related to underlying diseases including diabetes, malignancy, previous blood transfusion and hospital stay more than 7 days. Conclusion: The density of nosocomial infections in the Department of Intensive Care was high (22.4/1000 days) of which VAP is the most common (36.2/1000 days of mechanical ventilation). Types of nosocomial infections were associated with pre-existing medical conditions, severity on admission and prolonged hospital stay.Xác định mật độ mắc các loại nhiễm khuẩn bệnh viện (NKBV) và một số yếu tố liên quan tại khoa Hồi sức tích cực bệnh viện tỉnh Vĩnh Phúc. Đối tượng và phương pháp: Nghiên cứu tiến cứu, mô tả cắt ngang ở 320 bệnh nhân được điều trị trên 48h tại khoa Hồi sức tích cực (HSTC) bệnh viện tỉnh Vĩnh Phúc từ 01/2023 đến 10/2023. Kết quả: NKBV chủ yếu xảy ra ở người bệnh trên 60 tuổi (64%) và có mật độ mắc 22,4/1000 ngày nằm viện trong đó viêm phổi liên quan thở máy hay gặp nhất với 36,2/1000 ngày thở máy (Cường độ sử dụng thiết bị (DU) 0,4) sau đó là nhiễm khuẩn tiết niệu liên quan ống thông với 12,8/1000 ngày lưu sonde tiểu (DU 0,5). Có mối liên quan giữa tỷ lệ mắc viêm phổi liên quan thở máy với mức độ nặng (APACHE II) lúc vào khoa, bệnh lý nền tăng huyết áp, tai biến mạch máu não, dùng kháng sinh tĩnh mạch và truyền máu trước đó và thời gian nằm viện trên 7 ngày. Yếu tố có liên quan đến nhiễm khuẩn tiết niệu liên quan đến ống thông gồm các bệnh lý nền trước đó như đái tháo đường, bệnh lý ác tính, truyền máu trước đó và thời gian nằm viện trên 7 ngày. Kết luận: Mật độ mắc NKBV tại khoa HSTC còn cao (22,4/1000 ngày) trong đó viêm phổi liên quan thở máy là hay gặp nhất (36,2/1000 ngày thở máy). Các loại NKBV có liên quan đến bệnh lý nền trước đó, mức độ nặng khi vào khoa và thời gian nằm viện kéo dài.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR