163例神经外科医院感染的特点及易感因素分析

163 Cases of Neurosurgery Hospital Infection and the Characteristics of the Risk Factor Analysis

目的:了解神经外科的医院感染特点,分析引发感染的易感因素,探讨其防治策略,为危重患者抗感染治疗提供依据。方法:以主动监测与系统回顾相结合的方法,对2008年1月～2010年10月入住神经外科的935例患者的临床资料进行统计、分析。结果:神经外科的医院感染例次率是17.4%,显著高出同期的医院平均感染率7.6%;病原菌以革兰氏阴性杆菌为主;感染部位以下呼吸道感染为首,占61.2%;其次是泌尿道感染,占15.7%;导致感染的易感因素有收治对象的基础疾病,侵入性操作,预防性抗菌药物使用、医院环境等。结论:神经外科是医院感染的重点科室,应加强对其医院感染的监测,根据主要易感因素采取有效地预防控制措施。

Objective：To understand the characteristics of nosocomial infection in neurosurgery,analysis of factors predisposing cause infection to investigate the control strategies for the critically ill patients with anti-infective therapy.Methods：A systematic review of active surveillance with a combination of methods,from January 2008 to October 2010 stay at the 935 neurosurgical patients with clinical data and analysis.Results：The cases of nosocomial infection in neurosurgery is the time rate of 17.4%over the same period was significantly higher than the average infection rate of 7.6%in the hospital;gram-negative bacilli pathogens;respiratory infection site led.accounting for 61.2%,followed by urinary tract infection,15.7%;lead to infection of the predisposing factors are admitted to the object underlying discases,invasive procedures,preventivc use of antibiotics,the hospital environment Conclusion：The neurosurgery department is the focus of hospital infection,should strengthen its monitoring of hospital infection,according to the main predisposing factors to take effective preventive measures.