Analysis Of Present Situation Of Catheter-related Infections In ICU And Direct Economic Loss In Some Grade A Class-threehospital

Objective:1. To detect the present situation of catheter-related infections in ICU in a grade A tertiary hospital in Urumqi. 2. To analyze the direct economic losses of patients for catheter-related infections. 3.To investigate the related factors of patients for catheter-related infections in ICU.Methods:1. Using the retrospective and prospective study to collect all patients with catheter-related infections in I· CU in the grade A tertiary hospital between January 2014 and December 2015. Using the target monitoring table of ICU and the questionnaire of the cases of infection, all patients accorded with the exclusive and inclusion criteria have been investigated and their basic situation and related factors also have been discovered. 2. Based on the case-control study, patients with nosocomial infection were selected as the case group and patients without nosocomial infection as the control group. The two groups both used the questionnaire of direct economic losses for nosocomial infection to analyze the direct economic losses for patients with nosocomial infection in ICU.Results:1. A total of 68 cases of 818 patients occurred VAP with mechanical ventilation. Respirator has been kept for 4181 days. VAP incidence rate are 16.26‰. The Logistic regression analysis results suggested that incision of trachea, tracheal intubation, antacids using and repeated tracheal intubation were influence factors for VAP. 2. A total of 11 cases of 1470 patients occurred CAUTI with indwelling urethral catheters. Urinary catheter has been used for 10813 days. CAUTI rate were 1.02‰. The multiple Logistic regression analysis suggested that urinary system diseases, times of insertions with catheter, dwelling ICU days were influence factors for CAUTI. 3. A total of 6 cases occurred CRBSI in 536 patients with central vein catheter.CRBSI rate was 1.55‰ with 3877 days using central vein catheter. 4. The direct economicloss for nosocomial infection was 42320.15 Yuan in 2014 and 80425.97 Yuan in 2015. The hospitalization expenses of different ages and different infection locations of the case group were higher than those of the control group(P<0.05). 4. The average hospitalization days for nosocomial infection in the case group was 9 days more than control group(P<0.05).Conclusions: 1. Nosocomial infection increases with age, hospitalization time, antibacterial using time and invasive operation types going up. 2. Incision of trachea,tracheal intubation, operation time, repeated tracheal intubation and antacids using were independent risk factors for VAP. 3. Urinary system diseases, times of insertions with catheter and dwelling ICU days were independent risk factors for CAUTI. 4. Nosocomial infection could lead the direct economic loss and the length of hospital stay increased. The increase of direct economic loss and length of hospital stay were related with ages,infection sites and gender. 5. The hospital infection could result in the extension of patient’s hospitalization days, and the abdominal infection was the shortest. Further, the hospital stays of patients younger than 40 years old were the shortest than all other age levels.