脑卒中手术患者医院感染危险因素分析

Risk factor of healthcare-associated infection among stroke patients undergoing surgical treatment

目的调查脑卒中手术患者医院感染现况,探讨其发生医院感染的危险因素。方法采用自行编制的《脑卒中手术患者医院感染目标性监测调查表》纳入2016年1月1日-2017年12月31日收治在某三级甲等综合教学医院神经外科所有符合标准的患者。结果共纳入脑卒中手术患者466例,发生医院感染133例、154例次,医院感染率为28. 54%;出血性脑卒中、入院格拉斯哥昏迷评分(GCS)、住院天数、静脉血栓、术后第1日体温和机械通气是脑卒中手术患者医院感染的独立危险因素。结论脑卒中手术患者是医院感染高危人群,应针对危险因素采取有效预防控制措施,以期降低医院感染率。

Objective To investigate the current status of healthcare-associated infection among stroke patients undergoing surgical treatment,and to explore the risk factors of healthcare-associated infection. Methods Eligible patients hospitalized in the neurosurgery department in a tertiary comprehensive teaching hospital from January 1 st,2016 to December31 st,2017 were recruited. Necessary information of patients was collected and filled in the self-designed forms: Target surveillance investigation forms of healthcare-associated infection among stroke patients undergoing surgical treatment. Results Overall,466 eligible patients were enrolled in this study,133 healthcare-associated infection cases( 154 episodes),and the incidence of healthcare-associated infection was 28. 54%. Healthcare-associated infection risk factors for stroke patients undergoing surgical treatment were identified with the hemorrhagic stroke,Glasgow Coma Scale( GCS) at admission,length of stay( LOS),venous thrombosis,postoperative body temperature on 1 st day and mechanical ventilation. Conclusion Stroke patients undergoing surgical treatment are high-risk group of healthcare-associated infection,effective prevention and control measures targeting risk factors should be taken to reduce healthcare-associated infection rate in the population.