神经内科医院感染174例临床分析

Nosocomial infection in department of Neurology:Analysis of 174 cases

目的 :了解神经内科医院感染情况。方法 :对我科 1 999～ 2 0 0 2年的 2 85 5例出院患者进行回顾性调查。结果 :神经内科医院感染率为 6 .0 9% ,男女性别间差异无显著性 (P >0 .0 5 )。脊髓病变、出血性脑血管病、病毒性脑炎、周围神经病变及缺血性脑血管病依次为我科发生医院感染的常见病种。医院感染好发于肺部、上呼吸道、胃肠道、泌尿道。缺血性脑血管病例次感染率最高 ,且以肺部感染为主 ,脊髓病变以泌尿道感染为主。结论 :神经内科医院感染发生与患者基础病变、年龄、住院时间、侵袭性操作及气候等因素有关。重视内源性因素的防治 。

Objective:To investigate the causes of nosocomial infection(NI) in the department of Neurology in the Affiliated Hospital of Bengbu Medical College.Methods:The clinical data of 2 855 patients who were discharged from 1999 to 2002 in this department were reviewed and analyzed.Results:The over all incidence of NI was 6.09%.The odds between man and female were not obvious.Patients with myeleterosis,hemorrhagic apoplexy,viral encephalitis,peripheral neuropathy or ischemic apoplexy were often affected.The most common NI usually occurred in the lung,upper respiratory tract,gastrointestinal or urinary tract.Pulmonary and the kind of infection were always seen in patients with ischemic apoplexy,while urinary tract infection was always found in patients with myeleterosis.Conclusions:The hospital stay and mortality rate are prolonged because of NI.The occurrence is related to the patients' basic disease, age,invasive manipulation,climate and etc.Prevention and cure of the interior and exterior pathogenic factors should be emphasized to decrease the incidence of NI.