神经内科医院感染及对策分析

Analysis on nosocomial Infection in Neurology Department

目的了解神经内科医院感染发生因素,为提出有效的预防和控制措施提供依据。方法对本院2007-03/04神经内科住院患者医院感染情况进行调查,分析主要危险因素。结果神经内科医院感染率为7.19%,高于同期全院医院感染率。年龄≥60岁的患者医院感染率较高(χ2=0.04,P<0.05),基础疾病为脑血管疾病患者感染率较高(χ2=0.041 4,P<0.05)。医院感染部位以下呼吸道为主,感染病原体中真菌检出率较高(占45.45%)。住院患者平均年龄62岁,平均住院46 d,接受侵入性操作者占48.60%,抗菌药物的平均使用率57.35%。结论神经内科住院患者,特别是高龄、脑血管意外患者是医院感染的高危人群,应对其采取综合性控制措施以减少医院感染的发生。

Abstract Objective To find out the nosocomial infection factors and deoelop preventive measures in neurology department. Methods A prospective survey was made in the in-patients in neurology department from March to April 2007. Results In the neurology department, the rate of nosocomial infection was 7.19%, which was higher than that of the whole hospital in the same period. The nosocomial infection in patients aged ≥60 years was significantly higher （X^2 = 0. 04, P 〈 0. 05 ）. The pationt with cerebrovascular disease had higher infection rate （ X^2 = 0. 04, P 〈0. 05 ）. The lower respiratory tract was the leading infected site. Fungal infection rate was 45.45%. The average age of patients was 62 years, and the median stay in hospital was 46 days. The proportion of those treated with aggressive procedures was 48.60% and the antibiotie usage rate was 57.35%. Conclusions The in-patients of neurology department, especially the aged and cerebrovascular cases are the higher risk groups of nosocomial infection. To control nosocomial infection, comprehensive measures should be streagthened.