神经内科患者医院感染目标性监测的探讨

Target Monitoring of Nosocomial Infection in Department of Neurology

目的了解神经内科住院患者医院感染的特点及其相关危险因素,探讨有效预防与控制医院感染的方法。方法制定目标性监测方案,建立目标性监测日志,对2005年1月-2006年12月入住神经内科的患者进行前瞻性目标监测。结果共监测2682例,感染135例、163例次,例次感染率6.08%,比未开展目标性监测前的平均例次感染率13.77%下降7.69%;医院感染部位以下呼吸道及泌尿道多见,分别占34.36%及26.38%;医院感染病原菌以革兰阴性杆菌为主,占50.00%,真菌占32.95%。结论通过前瞻性目标监测可及时准确获得患者资料,掌握医院感染动态变化,及时制定有效的预防控制措施,降低医院感染发病率。

OBJECTIVE To understand the characteristics of nosocomial infection and its risk factors in the department of neurology, and to explore effective prevention and control measures for reducing the incident rate of nosocomial infection. METHODS Target monitoring procedures were setup. Prospective monitoring was done in inpatients in the department of neurology from Jan 2005 to Dec 2006. RESULTS Among 2682 patients, 135 patients （163 cases） suffered from nosocomial infection. The infection rate of the cases was 6.08%. Compared to the rate before monitoring （13.77%）, it decreased 7.69 %. The most common infection sites of the nosocomial infection were lower respiratory tract （34.36%） and urinary tract （26.38%）, respectively. Pathogen test showed that main pathogens were Gram-negative bacilli （50.00%）, then the fungi （32.95 %）. CONCLUSIONS Through target monitoring we can acquire patients＇ information accurately in time, and set effective prevention and control measures to reduce the nosocomial infection rate.