185例脑梗死患者医院感染临床分析

Nosocomial Infection among 185 Patients with Cerebral Infarction:A Clinical Analysis

目的了解脑梗死患者医院感染情况,探讨其相关危险因素,以便采取有效的控制措施。方法对2006年6月-2007年10月住院的185例脑梗死患者发生医院感染的情况进行回顾性分析。结果185例脑梗死患者发生医院感染80例,感染率43.24%,大部分发生在住院3周以后,以呼吸道感染最多(78.75%),老龄、住院时间、意识障碍、心房颤动、抗菌药物预防应用与医院感染的发生相关。结论脑梗死患者的医院感染发生率高,应积极治疗原发病和并发症,控制相关危险因素,有效减少医院感染的发生。

OBJECTIVE To investigate the nosocomal infection situation in cerebral infarction patients, and explore the risk factors of nosocomial infection to obtain the methods of infection control. METHODS An restrospeetive analysis of nosocomial infection situation had been accomplished among 185 cerebral infarction cases in our department ward from Jun 2006 to Oct 2007. RESULTS Eighty nosocomial infection cases were found among 185 cases. The nosocomial infection rate was 43.24%. Nosocomial infection mostly took place after 3 weeks. Among inpatients with nosocomial infection, the respiratory tract infection was the highest （78. 75%）. Nosocomial infection was closely related with such factors as the old age, hospitalization days, disorder of consciousness, atrial fibrillation and antibiotic prophylaxis. CONCLUSIONS Nosocomial infection is still a high frequent complication in the cerebral infarction. It is suggested that there be urgent need for treating the underlying disease and complication, controlling the risk factors to reduce the development of nosocomial infection in patients with cerebral infarction.