摘要
目的:回顾总结脑出血患者医院感染的临床特征,并对相关危险因素进行分析。方法:收治脑出血患者1 525例,发生医院感染218例(14.3%),对这些患者的相关危险因素以及病原菌培养结果和抗菌药应用进行统计分析。结果:在脑出血患者发生医院感染218例(14.3%),感染260例次(17.1%)。脑出血相关危险因素中住院时间、GCS评分、NIHSS评分、糖尿病史、吸烟史、侵入性操作和住ICU最为重要(P<0.01)。未使用抗菌药144例(9.4%)中发生感染14例(9.7%),使用抗菌药1 381例(90.6%)中发生感染204例(14.8%)。结论:脑出血患者医院感染发生率高,侵入性操作和ICU是重要危险因素,医务人员应采取综合措施进行防治,降低医院感染发生率。
Objective To review and summarize the clinical characteristics of the patients with cerebral hemorrhage and nosocomial infection,and explore the related risk factors. Methods 1 525 patients with cerebral hemorrhage were treated in our hospitals ,218 cases of nosocomial infection( 14. 3% ). For these patients, risk factors, the results of pathogenic bacteria cultureand and antibiotic applications were analyzed. Results In patients with cerebral hemorrhage,218 patients with hospital infection( 14. 3% ) were occurred. In 260 cases of infection ( 17. 1% ), the related risk factors were cerebral hemorrhage, hospitalization time, GCS score, NIHSS score, history of diabetes, smoking history, invasive operation and intensive care unit (ICU) were considered the most important (P 〈0. 01 ). Antibacterial for patients with 144 cases( 9. 4% )without the use of infections were occurred in 14 cases(9. 7% ), the use of antibiotics in 1381 cases( 90. 6% )of the infections occurred in 204 cases( 14. 8% ). Conclusion The results showed that the incidence rate of nosocomial infection was significantly increased in patients with cerebral hemon'hage,invasive operation and ICU is an important risk factor. The medical personnel should take comprehensive measures to control and reduce the incidence of nosocomial infection.
出处
《吉林医学》
CAS
2014年第24期5392-5393,共2页
Jilin Medical Journal
关键词
脑出血
医院感染
危险因素
侵入性操作
ICU
Cerebral hemorrhage
Nosocomial infection
Related factor
Invasive operation
Intensive care unit ( ICU )