656例急性脑血管意外患者医院感染分析

Nosocomial Infection among 656 Acute Cerebral Vascular Accident Cases

目的了解急性脑血管意外患者医院感染情况,探讨其相关因素,以采取有效的控制措施。方法对2004年7月-2006年6月间,出院的656例急性脑血管意外患者发生的医院感染进行分析。结果发生医院感染179例,213例次,医院感染率为27·29%,例次感染率32·47%;多发生在住院2周内;下呼吸道感染最多为126例(59.15%),其次为泌尿道36例(16·90%);病原学检查为条件致病菌;侵袭性操作、意识障碍、糖尿病、年龄、慢性支气管炎、抗菌药物预防性应用、住院天数、血浆总蛋白与医院感染的发生相关。结论急性脑血管意外患者的医院感染发生率高,应积极重视与医院感染发生的相关因素,采取积极有效的防治措施,减少医院感染发生率,促进患者康复。

OBJECTIVE To investigate the nosocomial infection circumstance in the acute cerebral vascular accident （CVA） in recently two years, and explore the risk factors of nosocomial infection, so that can obtain the methods of controlling the infection. METHODS An restrospective analysis of nosocomial infection circumstance had been accomplished among 656 acute CVA eases from our department ward from Jul 2004 to Jun 2006. RESULTS It was showed eases with nosoeomial infection were found among 656 eases. The nosoeomial infection rate was 32.67% among inpatients of acute CVA. Nosocomial infection mostly took place within the first 2 weeks after patients hospitalized. Among inpatients with nosocomial infection, the lower respiratory tract infection was the highest （59.15%）, the second one was the urinary tract （16.90;）. Pathogenic bacteria were mostly the conditional ones. Nosocomial infection was closely related with such factors as the invasive operation, disorder of consciousness, diabetes, age, chronic bronchitis, antibiotic prophylaxis, hospitalization days, and plasma total protein. CONCLUSIONS Nosocomial infection is still a high frequent complication in acute CVA and those related factors should be paid attenion. It is the most important step for the effective control of nosocomial infection and rehabilitation of acute CVA.