摘要
目的分析本院神经内科住院患者的院内感染情况,探讨神经内科患者院内感染的发生及相关危险因素。方法回顾性分析本院2008年3月至2012年3月874例神经内科住院患者的临床资料,采用连续病例监测、单因素分析以及Logistic回归模型多因素分析方法对院内感染的相关危险因素进行分析。结果 874例患者中共有45例出现了院内感染,感染率高达5.1%;Logistic回归分析结果显示,神经内科住院患者院内感染的重要危险因素为冬春季节发病、年龄>60岁、吸烟饮酒生活史、糖尿病史、住院时间>20天、昏迷、应用广谱抗生素、气管插管或切开、机械通气、留置导尿。结论神经内科住院患者的院内感染概率较大,引发感染的相关因素较多而复杂,应采用综合防治措施控制神经内科患者住院期间院内感染率。
Objective To investigate the status of hospital infection at the department of neurology and analyze the related risk factors. Methods Eight hundred and seventy-four in-patients at the department of neurology in our hospital during March 2008-March 2012 were retrospectively analyzed. Single factor analysis and Logistic regression model were used to analyze related risk factors with infection. Results In the 874 in-patients there was a total of 45 cases was found to be infected. The infection rate was 5.1%. Statistical analysis showed that infection related risk factors included spring-winter seasons, age older than 60 years old, smoking/drinking life history, history of diabetes, length of hospital stay more than 20 days, exanimatum, broad-spectrum antibiotics, endotracheal intubation or incision, mechanical ventilation, and indwelling catheterization. Conclusions The in-patients at department of neurology have a high rate of hospital infection, and related risk factors were complicated. Therefore, the comprehensive prevention and control measures should be applied in order to control the infection effectively.
出处
《实用医院临床杂志》
2013年第4期59-60,共2页
Practical Journal of Clinical Medicine
关键词
医院感染
神经内科
危险因素
Hospital infection
Neurology department
Risk factors