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目的分析神经外科医院感染发病率、病原菌、危险因素及预防控制措施。方法对神经外科2006年1月-2008年12月出院患者发生医院感染的部位、原因、细菌培养结果进行回顾性调查分析。结果神经外科3年出院患者1829例,发生医院感染105例,感染率5.74%,医院感染119例次,感染例次率6.51%;感染部位以下呼吸道居首位,构成比为73.95%,其次为泌尿道,占5.89%,下呼吸道感染病原菌中以铜绿假单胞菌为主,占34.57%。结论神经外科医院感染发病率明显高于其他科室,患者接受多项侵入性操作、抗菌药物的应用、患者免疫力低下等是医院感染的危险因素。
Objective To analyze the incidence, pathogens, risk factors and prevention and control measures of neurosurgical nosocomial infection. Methods The location, causes and bacterial culture of nosocomial infection in discharged patients from January 2006 to December 2008 in neurosurgery were retrospectively analyzed. Results In the 3 years after neurosurgery, 1829 patients were discharged from hospital, 105 cases were hospital infection, the infection rate was 5.74%, 119 cases were hospital infection and the infection rate was 6.51%. The respiratory tract below the infection site was the highest with the constituent ratio of 73.95% Urinary tract, accounting for 5.89%, the lower respiratory tract infection of Pseudomonas aeruginosa, accounting for 34.57%. Conclusion The incidence of neurosurgical nosocomial infection was significantly higher than that of other departments. Patients underwent multiple invasive procedures. The use of antibacterials and the low immunity of patients were the risk factors of nosocomial infection.