摘要
目的探讨脑梗死患者医院感染的危险因素,为制定感染控制措施、降低医院感染率提供依据。方法对我院2014年1-12月神经内科收治的1638例脑梗死患者进行回顾性调查。结果 1638例患者医院感染128例,感染率7.81%。其中下呼吸道感染例数67例,占医院感染的52.34%。病原菌以革兰氏阴性菌为主,占59.66%。单因素分析结果显示,患者年龄、住院时间、意识状态、NIHSS评分、是否进行侵入性操作、是否使用抗酸剂、是否使用镇静剂、有无基础性疾病与医院感染相关(均P<0.05)。结论应针对脑梗死患者医院感染危险因素加强防控,预防脑梗死患者医院感染的发生。
Objective: To evaluate risk factor for nosocomial infection of cerebral infarction patients,and provide evidence for developing infection control measures. Methods: Data of 1638 patients who received treatment in neurology ward from Jan. to Dec. 2014 were reviewed and analyzed. Results: Among 1638 patients,128 patients acquired nosocomial infection,and the infection rate was 7. 81%; then 67 patients had lower respiratory tract infections,accounting for 52. 34% of the hospital infections. The most common pathogenic bacteria were gram-negative bacteria which accounted for 59. 66%.Univariate analysis showed that nosocomial infections were associated with age,hospitalization time,conscious state,NIHSS score,invasion operation,antacid,sedative,and basic disease( P〈 0. 05,respectively). Conclusion: Intensifying measures should be taken according to the risk factors of cerebral infarction patients,in order to prevent the occurrence of nosocomial infections.
出处
《泰山医学院学报》
CAS
2016年第3期251-253,共3页
Journal of Taishan Medical College
关键词
脑梗死
医院感染
危险因素
手卫生
消毒
隔离
cerebral infarction
nosocomial infection
risk factors
hand hygiene
disinfection
isolation