摘要
目的分析神经内科住院患者医院感染情况和危险因素，以降低感染发生率。方法回顾性分析医院2647例神经内科住院患者的临床资料。结果发生医院感染38例，感染发生率为1.44%，脑出血患者医院感染率最高(3.1%)，感染部位以下呼吸道发生最多(57.9%)。神经内科住院患者医院感染的高危因素是年龄>60岁、有糖尿病史、慢性基础疾病、有烟酒嗜好、意识障碍、侵入性操作、住院时间>2周。医院感染的病原菌主要为铜绿假单胞菌(36.8%)，其次为金黄色葡萄球菌(26.3%)。结论神经内科住院患者医院感染的危险因素为年龄、基础疾病、意识障碍、侵入性操作、住院时间。应针对危险因素采取相应措施，合理使用抗生素，加强医院管理，降低医院感染的发生率。
Abstract
Objective To analyze the hospital infectious condition and risk factors of patients in neurology department, so as to take effective prevention. Methods The hospital infectious patients in neurology wards from August 2011 to March 2012 were analyzed retrospectively. Results The infectious rate was 1.44%(38/2647), and the rate of cerebral infarction patients was the highest(3.1%). In the body, the lower respiratory infection was the major part of infection(57.9%). The risk factors of infection were age over 60 years, history of diabetes, chronic underlying diseases, smoking and alcohol abuse history, consciousness, invasive procedures, stay in hospital more than 2 weeks. The hospital infection of pathogenic bacteria is mainly for pseudomonas aeruginosa(36.8%), followed by staphylococcus aurous(26.3%). Conclusion Age, length of hospital stay, underlying diseases and invasive procedures were risk factors for hospital infection in neurology wards. Take corresponding measures for risk factors, the rational use of antibiotics, strengthen management of hospital to reduce the incidence of hospital infection.
NETL
NSTL
维普
万方数据