神经内科住院患者医院感染危险因素分析

The Risk Factor Analysis of Hospital Infection in Neurology Department

目的:分析神经内科住院患者医院感染情况和危险因素,以便采取有效预防措施,控制感染的发生。方法:对2010年1月-2011年1月我院神经内科发生医院感染的住院患者进行回顾性分析。结果:1 250例神经内科住院患者中发生医院感染72例,感染发生率为5.76%,脑梗死患者医院感染率最高(9.18%),感染部位以肺部占首位,其次为泌尿系感染。神经内科住院患者医院感染的高危因素是年龄大于60岁、有糖尿病史、慢性基础疾病多、住院时间大于2周者、有烟酒嗜好史、意识障碍及侵入性操作。医院感染的病原菌主要为革兰阴性杆菌,占63.99%。结论:神经内科院内感染的危险因素为年龄、住院时间、基础疾病、侵入性操作。减少危险因素,合理使用抗生素,加强医院感染管理,可控制医院感染的发生。

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 January 2010 to January 2011 were analyzed retrospectively.Results The infectious rate was 5.76%(72/1 250),and the rate of cerebral infarction patients was the highest(9.18%).In the body,lung was the major part of infection,followed by urinary tract infection.The risk factors of infection were age over 60 years,history of diabetes,chronic underlying diseases,stay in hospital more than 2 weeks,smoking and alcohol abuse history,consciousness and invasive procedures.The hospital infection pathogens were mainly Gram-negative bacteria,accounting for 63.99%.Conclusion Age,length of hospital stay,underlying diseases and invasive procedures were risk factors for hospital infection in neurology wards.Reducing risk factors,the rational use of antibiotics and strengthening management of hospital infections could effectively control hospital infection.