266例神经内科住院患者医院感染调查研究

266 cases of nosocomial infection in patients in Department of internal medicine investigation

目的:调查分析神经内科住院患者的医院感染发病的具体情况以及其中的易感染因素,主要为了降低神经内科中医院感染的发生机率,并且提出相关的预防措施。方法:抽取我院2012年4月—2014年4月间在神经内科住院并且发生了医院感染的266例患者进行分析,收集和对比相关的医院感染资料,分析感染发生的具体情况。结果:在我院神经内科医院感染的部位中,下呼吸道占据最大比例,为60.2%,其次是上呼吸道和泌尿道,均为14.3%和14.3%;脑梗死以及脑出血患者在神经内科医院感染中比例较高,分别是74.4%和21.8%。结论:神经内科患者在医院感染发生中占据着很大部分,特别是对于一些高龄患者和一些脑血管患者来说,更加容易引发医院感染,医院需要针对主要的感染发生因素进行分析和综合性的管理,还需要进行重点性的监控,查出病发原因进行综合治理,降低医院神经内科住院患者医院感染的发生率。

Objective：To investigate the analysis of the specific situation of hospitalized patients with hospital infection in Department of internal medicine and the susceptible factors, mainly in order to reduce the incidence of hospital infection in Department of internal medicine,and put forward the corresponding prevention measures.Methods：Selected in our hospital from 2012 April to 2014 April in Department of internal medicine in hospital and nerve occurred in 266 cases of patients with nosocomial infection were analyzed, data collection and comparison of the relevant hospital infection,the infection situation analysis. Results： The hospital infection in Department of internal medicine in our hospital in the parts of the lower respiratory tract,accounted for the largest proportion,60.2%,followed by theupper respiratory tract and urinary tract,were 14.3% and 14.3%;cerebral infarction and cerebral hemorrhage in patients with neurological department of internal medicine hospital infection in a higher proportion,respectively 74.4% and 21.8%.Conclusion：Patients with neurological department of internal medicine in hospital infection plays a very much,especially for elderly patients with cerebrovascular disease,is more likely to cause infection in hospital, the hospital to meet the needs of the main infection factors analysis and comprehensive management, but also need to monitor the key, find out the cause of disease of governance,reduce the incidence of Hospital Department of internal medicine in hospital patients with hospital infection.