急性脑血管病患者医院感染分析及对策

Analysis of nosocomiol infection in patients with acute cerebrovascular disease of its countermeasures

目的:探讨急性脑血管病与医院感染的关系。方法:对654例急性脑血管病患者进行医院感染多因素分析。结果:医院感染率为15.14％,呼吸道感染占首位,分离菌株以G^-杆菌及真菌为主。医院感染率与糖尿病、住院天数及病情严重程度密切相关。结论:加强护理管理,提高医护人员对医院感染的防范意识,积极预防脑血管病合并症及并发症的发生,缩短住院天数,避免侵袭性操作,促进排痰及合理使用抗生素,不断完善各项监控措施,对控制医院感染、降低医院感染率至关重要。

Objective: To investigate the relationship between clinical features, prognosis and nosocomiol infection (NI) in acute cerebrovascular disease (ACVD). Method:The multiple factors of NI were analyzed in 654 patients. Result: The nosocomiol infection rate (NIR) of ACVD was 15.14% . The most common region of infection was respiratory tract. Gram-negative bacilus and fungi were predominant pathogens. NIR in ACVD is relative with factors such as clinical type, diabetes mellitus, hospitalization and critical condition. Conclusion: It is important to strengthen nursing administration and enhance consciousness for prevention of NI. In order to control NI effectively and reduce NIR, we should also use antibiotics appropriately, promote discharge of sputum and avoid to use invasive manipulation