摘要
目的探讨神经内科重症监护病房患者医院感染的情况。方法以我院神经内科重症监护病房收治的600例患者为研究对象,回顾分析其临床资料,观察医院感染发生率及相关因素。结果本组600例患者,医院感染发生率为9.67%;感染组的合并症、年龄≥60岁、有意识障碍、气管插管、留置尿管>7 d、呼吸机辅助通气>48 h发生率高于非感染组,差异有统计学意义(P<0.05);病原菌检出61株,其中革兰阴性菌占30株、真菌17株、革兰阳性菌14株。结论神经内科重症监护病房患者医院感染的常见部位为呼吸道,为了控制医院感染发生率,应严密关注患者的各项生命体征,采取针对性的治疗与护理措施,同时合理使用抗菌药物。
Objective To investigate the nosocomial infection in intensive care of patients with neurological department of internal medicine. Methods 600 patients with neurological department of internal medicine in our hospital as the research object. The clinical data were retrospectively analyzed,the incidence and related factors of infection were observed. Results In 600 patients,the incidence of nosocomial infection rate was 9.67%. Complications of infection group,age over 60 years, disturbance of consciousness,tracheal intubation,indwelling catheter 7 d,assisted ventilation 48 h of occurred rate were higher than the non infected group,the difference was statistically significant（P 0.05）. Pathogen detection 61 strains,which leather gram negative bacteria accounted for 30 strains,17 strains of fungi,14 strains of gram positive bacteria. Conclusion The common part of nosocomial infection in the intensive care unit of the nervous system is the respiratory tract. To control the incidence of nosocomial infection should be paying close attention to the patient＇s vital signs,take appropriate treatment and care measures,rational use of antibiotics.
出处
《中国卫生标准管理》
2016年第4期185-186,共2页
China Health Standard Management
关键词
神经内科
重症
医院感染
Internal medicine-neurology
Severe
Nosocomial infection
