论文部分内容阅读
目的:探讨神经内科住院患者发生医院感染的情况、特征,并分析其危险因素,针对危险因素提出相应的防治措施。方法:对神经内科1 283例患者的临床资料进行回顾性分析。结果:1 283例患者中发生医院感染107例(8.34%),60岁以上患者感染率最高(60.7%),受感染部位主要集中在下呼吸道(57.0%)、泌尿道(23.4%)以及胃肠道(7.5%),共检出病原菌167株,以革兰氏阴性菌最多为55.0%,革兰氏阳性菌21.0%,真菌24.0%,发生医院感染的原发病中以脑梗死、脑出血、椎-基底动脉供血不足等常见。结论:神经内科发生医院感染的几率较高,应对科内患者进行重点监测和控制,依据影响医院感染的因素以及患者自身情况,加强无菌意识,减少不必要的侵入性操作,合理应用抗生素,以降低医院感染发生率。
Objective: To investigate the situation and characteristics of nosocomial infection in inpatients in neurology department, analyze the risk factors and propose corresponding prevention and treatment measures according to the risk factors. Methods: The clinical data of 1 283 patients in neurology department were analyzed retrospectively. Results: Of the 283 patients, 107 (8.34%) had nosocomial infection and the highest infection rate was 60.7% (60.7%) in patients over 60 years old. The infected sites mainly included lower respiratory tract (57.0%), urinary tract (23.4% (7.5%). A total of 167 pathogenic bacteria were detected, accounting for 55.0% of Gram-negative bacteria, 21.0% of Gram-positive bacteria and 24.0% of fungi. Cerebral infarction and cerebral hemorrhage , Vertebrobasilar insufficiency and other common. Conclusion: The higher incidence of nosocomial infections in neurology department should focus on monitoring and control of patients in the department. Based on the factors affecting the nosocomial infection and the patient’s own condition, to strengthen the sense of sterile, reduce unnecessary invasive operation, rational use of antibiotics, To reduce the incidence of nosocomial infections.