摘要
目的探讨脑梗死患者发生医院感染病原菌的分布及危险因素分析,以降低医院感染的发生。方法采用回顾性调查,对2010年1月-2013年12月神经内科2 096例脑梗死患者的相关资料进行分析。结果共有164例发生医院感染,医院感染率7.8%,感染331例次,例次感染率15.8%;主要感染部位为下呼吸道,占41.4%;检出病原菌141株,其中革兰阴性菌占51.8%,革兰阳性菌占20.6%,真菌占27.6%;年龄>70岁、入住ICU、手术、意识模糊、营养状态差、使用肾上腺皮质激素、脑出血、气管切开等因素是脑梗死患者发生医院感染的危险因素(P<0.05)。结论脑梗死患者发生医院感染率很高,针对危险因素采取相应措施,以降低医院感染的发生。
OBJECTIVE To explore the distribution of pathogens causing nosocomial infections in patients with cerebral infarction and analyze the risk factors so as to reduce the incidence of infections .METHODS By means of retrospective survey , the related data of 2 096 cerebral infarction patients who were treated in neurology department from Jan 2010 to Dec 2013 were analyzed .RESULTS The nosocomial infections occurred in 164 （ 331 case-times） cases with the infection rate of 7 .82% and the case-time infection rate of 15 .79% ,among whom 41 .4% were with lower respiratory tract infections .A total of 141 strains of pathogens have been isolated ,among which the gram-negative bacteria accounted for 51 .8% ,the gram-positive bacteria 20 .6% ,the fungi 27 .6% .The more than 70 years of age , ICU stay , surgery , disturbance of consciousness , malnutrition , use of adrenocorticotropic hormone ,cerebral hemorrhage ,and tracheotomy were the risk factors for the nosocomial infections in the cerebral infarction patients （P〈 0 .05） .CONCLUSION The incidence of nosocomial infections is high among the patients with cerebral infarction ,and it is necessary to take corresponding measures in response to the risk factors so as to reduce the incidence of nosocomial infections .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第20期5086-5088,共3页
Chinese Journal of Nosocomiology
基金
国家自然科学基金资助项目(30872155)
国家科技重大专项基金资助项目(2013ZX 10004805-003)
全军医学科技“十二五”科研基金资助项目(AWS11L009、11BJZ01)
关键词
医院感染
脑梗死
危险因素
病原菌
Nosocomial infection
Cerebral infarction
Risk factor
Pathogen
