颅内出血病人医院感染调查与分析

Survey on nosocomial infection in patients with encephalic hemorrhage

目的 探讨颅内出血后病人发生医院感染情况 ,为颅内出血后医院感染的预防寻找对策。方法 采取回顾性调查方法 ,分新生儿、成人两组 ,对新生儿科、神经内科 772例颅内出血患者进行调查。结果 2 0 0 0年 1月～ 2 0 0 1年 12月颅内出血患者总例数 772例 ,其中新生儿医院感染率为 17.78% (16 / 90 ) ,例次感染率为 2 2 .2 2 %(2 0 / 90 ) ;成人颅内出血患者医院感染率为 14 .0 8% (96 / 6 82 ) ,例次感染率为 16 .4 2 % (112 / 6 82 )。新生儿医院感染部位依次为口腔 (鹅口疮 )、呼吸道、胃肠道 ;成人医院感染部位依次为呼吸道、泌尿道、胃肠道。结论 颅内出血患者医院感染率明显高于普通患者 ;医院感染患者其住院日期明显延长 ;新生儿易感部位主要是口腔 ;成人主要是呼吸道 ;

Objective To investigate nosocomial infection (NI) in patients with encephalic hemorrhage. Methods Seven hundred and seventy two patients with NI in the department of neurology and neonatal unit from January, 2000 to December 2001 were divided into two groups and studied retrospectively. Results The NI rate of newborns and adults were 17.78% and 14.08% respectively. The common NI in newborns were oral infection, respiratory tract infection and gastrointestinal tract infection. The common NI in adults were respiratory tract infection, urinary tract infection and gastrointestinal tract infection. Conclusion NI rate of patients with encephalic hemorrhage was higher than those without encephalic hemorrhage, NI can prolong hospitalization, prevention of the above infection is the key to reduce the NI after encephalic hemorrhage.