神经外科医院感染病原菌特点

Characteristic of pathogens of nosocomial infection in department of neurosurgery

目的探讨神经外科患者临床感染病原菌特点。方法回顾性分析189例神经外科住院患者医院感染的病历资料。结果神经外科医院感染以呼吸道感染为主。189例医院感染分离出病原菌197株,其中革兰阴性菌118株,革兰阳性菌64株,真菌15株。主要病原菌为金黄色葡萄球、肺炎克雷伯菌、铜绿假单胞菌和大肠埃希菌。金黄色葡萄球菌对大多数抗菌药物耐药。肺炎克雷伯菌和大肠埃希菌对亚胺培南/西司他丁耐药率较低,而铜绿假单胞菌对多数抗菌药物菌均有较高的耐药率。结论神经外科医院感染的主要感染部位是呼吸系统。住院患者呼吸系统的有效护理可以效降低医院感染的发生率。病原菌多为具有多重耐药性病菌。

Objective To analyze the characteristic of pathogens of nosocomial infection in department of neurosurgery.Methods The clinical data of 189 patients with nosocomial infection in department of neurosurgery were analyzed.Results Respiratory tract was the major position of nosocomial infection in department of neurosurgery.There were 197 strains in 189 cases with nosocomial infection including 118 strains of Gram-negative bacteria,64 strains of Gram-positive bacteria and 15 strains of fungi.Staphylococcus aureus and Pseudomonas aeruginosa were resistant to most of the antibacterials.Klebsiella pneumonia and Escherichia coli were sensitive to imipenem/cilastatin.Conclusion Respiratory tract is the major position of nosocomial infection in department of neurosurgery,so the effective nursing can reduce the rate of nosocomial infection.Most of the pathogens were mult-resistant.