神经外科病房医院感染因素分析与对策探讨

Nosocomial infection in neurosurgical unit and countermeasures

目的探讨神经外科病房医院感染的相关因素,为有效降低神经外科的医院感染发生率,制定控制感染措施。方法 2009年1-12月对神经外科的呼吸道、尿路、消化道、颅内感染与其相关因素进行分析,并提出相应的护理控制措施。结果发生医院感染166例,感染部位以下呼吸道感染为主,占41.57%,泌尿道次之,占28.31%,消化道感染位居第3,占12.65%;通过正确使用护理程序,加强护理管理,使神经外科的感染率得到有效控制。结论各项的护理措施对神经外科的医院感染控制是行之有效的。

OBJECTIVE To explore the nursing related factors of the neurosurgery hospital infection to reduce the morbidity of hospital infection in neurosurgical unit, and find out the better measurement for infection control. METHODS We analyzed the nursing related factors of hospital infection, including respiratory infection, urinary tract infection, alimentary infection and intracranial infection, in neurosurgical unit of our hospital. We also summarized effective nursing measurement correspondingly. RESULTS There were 166 cases occurred in nosocomial infections, and the magor infected site was lower respiratory tract, accounting for 41.57%, the next was urinary tract, accounting for 28.31%, the third was gastrointestinal tract, accounting for 12.65% ; through appropriate use of nursing procedure, strengthening the nursing management, the infection rate in department of neurosurgery was effectively. CONCLUSION Correct nursing interventions is effective for infection control in neurosurgical unit.