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目的探讨神经外科监护室患者医院感染的状况。方法采用回顾性分析的方法对2010年1月—2011年8月在我院神经外科监护室住院治疗的645例患者的临床资料进行分析。结果在645例患者中,38例发生院内感染,院内感染发生率为5.89%,感染部位依次为上呼吸道、下呼吸道、术后切口、泌尿道、胃肠道及皮肤与软组织;分析原因:年龄较大、侵入性操作多、住院时间长、病情危重等。结论我院神经外科监护室患者院内感染控制较好。主动参与医院感染管理,严格消毒隔离,严格控制侵入性操作的适应证,尽可能的减少侵入性操作的次数,加强住院患者的护理,减少探视次数,控制探视人数,采取针对性的预防控制措施,可减少神经外科监护室院内感染的发生率。
Objective To investigate the status of nosocomial infection in neurosurgical intensive care unit. Methods The clinical data of 645 patients hospitalized in our hospital from January 2010 to August 2011 in Department of Neurosurgery were analyzed retrospectively. Results Among the 645 patients, 38 cases had nosocomial infection and the incidence of nosocomial infection was 5.89%. The infection sites were upper respiratory tract, lower respiratory tract, postoperative incision, urinary tract, gastrointestinal tract and skin and soft tissue. Analysis of causes: age Larger, more invasive operations, hospitalization for a long time, critically ill and so on. Conclusion The control of nosocomial infection in neurosurgical intensive care unit in our hospital is better. Take the initiative to participate in the management of hospital infection, strict disinfection and isolation, strict control of invasive indications, as much as possible to reduce the number of invasive operations, strengthen inpatient care, reduce the number of visits, control the number of visitors, to take targeted preventive control measures , Can reduce the incidence of nosocomial infections in neurosurgical care.