急性脑血管病医院感染的调查与分析

Investigation and Analysis Cute of Nosocomial Infection in Patients with Acute Cerebrovascular Disease

目的分析并探讨急性脑血管病患者医院感染发病率、病原菌、危险因素等特点,以寻找有效地防治措施。方法对我院2006年6月-2007年8月出院脑血管病患者发生医院感染的发病率、感染部位、各基础疾病医院感染发病率之间的差异、侵入性诊治致医院感染高发率等进行回顾性调查分析。结果急性脑血管病医院感染发生率为8.93%,以脑出血患者医院感染发病率为高,医院感染部位以泌尿道、呼吸道为主;侵入性诊治致医院感染的发生率明显增高。结论急性脑血管病发病率明显高于其它基础病;患者接受多项侵入性诊疗,免疫功能低下等是医院感染的危险因素和易感因素,应作为全院医院感染预防与控制的重点疾病。

Objective To analyze the morbidity, pathogen and risk factors of nosocomial infection in patients with acute cere- brovascular disease. Methods The total morbidity, infected sites, the difference of the nosocomial infection among underlying diseases, and the high incidence of nosocomial infection induced by invasive examination and cure of in hospital patients from June 2006 to August 2007 were analyzed retrospectively. Results The morbidity of nosocomial infection in patients with acute cerebrovascular disease was 8.93%. The primary infected sites were the lower respiratory tract, urinary tract and upper respiratory tract respectively. The morbidity of nosocomial infective induced by invasion examination and cure increased obviously. Couclu~ sions The morbidity of nosocomial infection in acute cerebrovascular disease is obviously higher than that in other diseases. The risk factors and susceptible factors include invasion examination and cure and low immune function. The acute cerebrovascular diseases should be emphasized in the control and prevention of nosocomial infection.