Inglis T J, Sproat L J, Hawkey P M, Knappett P
Department of Microbiology, University of Leeds.
Br J Anaesth. 1992 Feb;68(2):216-20. doi: 10.1093/bja/68.2.216.
A completed questionnaire was returned by 246 (85%) intensive care units participating in a national survey of infection control practice in intensive care. Thirty-three units had no provision for isolating patients in single side wards. Sixty percent of responding ICU had fewer than one washbasin per bedspace. Several units reported using ventilator filters or tubing more frequently than is currently recommended. Excessive numbers of catheter urine specimens were sent for laboratory examination by some units. A small number of units used open urinary drainage systems. A significant proportion of ICU had no formally recognized policy on the management of intravascular cannulae. Only 8% of ICU in the U.K. were using a selective decontamination regimen, and nine of these (50%) had no full time consultant microbiologist available to supervise the recommended microbiological management. The majority of ICU received a regular visit (greater than or equal to one per week) from a microbiologist. Proposals are made on the development of a specialized infection control service in order to reduce the risk of nosocomial infection in intensive care, and to improve on existing resource management.
参与全国重症监护感染控制实践调查的246个（85%）重症监护病房返回了完整的调查问卷。33个病房没有在单人病房隔离患者的设施。60%的回复重症监护病房每个床位空间的洗手盆少于一个。一些病房报告使用呼吸机过滤器或管道的频率高于目前的建议。一些病房送检的导尿管尿液标本数量过多。少数病房使用开放式尿液引流系统。相当一部分重症监护病房没有关于血管内插管管理的正式认可政策。英国只有8%的重症监护病房采用选择性去污方案，其中9个（50%）没有全职顾问微生物学家来监督推荐的微生物管理。大多数重症监护病房每周至少接受一次微生物学家的定期查房。为降低重症监护中医院感染风险并改善现有资源管理，提出了关于发展专门感染控制服务的建议。
