神经外科患者医院感染的调查

INVESTIGATION ON THE NOSOCOMIAL INFECTION OF PATIENTS IN NEUROSURGICAL WARD

目的了解医院神经外科住院患者医院感染临床特点和病原菌种类,以便有效地预防与控制医院感染。方法采用回顾性调查方法,对某医院神经外科2009-2011年住院患者医院感染情况进行了调查。结果调查期间,该医院神经外科共计出院患者1 897例,发生医院感染141例、152例次,医院感染率为7.43%、例次感染率为8.01%。呼吸道感染居首位,占79.61%,有75%为下呼吸道感染。从病人感染标本中检出的病原菌中,革兰阴性菌占53.09%,有21%为真菌感染。结论该医院神经外科患者的医院感染发生率较高,这与该科室病人病情严重和侵入性操作多有直接关系,应有针对性地加强防范。

Objective To investigate the clinical characteristics and the species of pathogenic bacteria of nosocomial in- fection among patients in neurosurgical wards, so as to provide effective preventive and treatment measures. Methods The retrospective investigation was made among inpatients in neurosurgical wards from year 2009 to 2011. Results Of all the 1 897 inpatients in neurosurgical wards under investigation, there were 141 cases of nosocomial infection （152 case/times）. The hospital infection rate and case infection rate was 7.43% and 8.01% respectively. The respiratory infection rank the top （79. 61% ） and the lower respiratory tract infection accounted for 75%. Among all the pathogenic bacteria detected from patients＇ infection specimens, the Gram -negative bacilli accounted for 53.09% and 21% was fungi infection. Conclusion The nosocomial infections rate of patients in neurosurgical ward is comparatively high and it is directly related to the severe condition of the patients and frequent apply of invasive operation, which needs pertinent precautions and counter- measures.