急性脑血管病医院感染临床特征与预防  

作　　者：林盛[1] 

机构地区：[1]韶关市粤北人民医院,521026

出　　处：《当代医学》2009年第16期50-51,共2页Contemporary Medicine

摘　　要：目的探讨急性脑血管病医院感染的临床特征及预防对策。方法回顾性分析338例急性脑血管病患者临床资料,统计急性脑血管病医院感染发生率、感染部位、高危因素对预后的影响。结果286例患者发生医院感染39例,感染率为13.36%。医院感染主要与高龄、住院时间、意识障碍、侵袭性操作等因素有关。预防性应用广谱抗生素,并不能降低感染率。主要感染部位为呼吸道,病原菌以革兰阴性杆菌和真菌为主。结论急性脑血管病为医院感染易感人群,高龄、住院时间、意识障碍、侵袭性操作是主要高危因素,应重点监控和防治。Objective To study the clinical features and prevention of acute cerebrovascular disease. Methods Retrospectively analyzed 338 clinical cases of acute cerebrovascular disease, added up the incidences, infection sites, high risk factors of the acute cerebrovascular disease for the prognosis. Results There were 39 cases which were in hospital infection out of 286 cases. The infection rate was 13.36%. The hospital infection was related to the factories of elderly, hospitalization time, disturbance of consciousness, invasive manipulation. The prophylactic use of broad-spectrum antibiotics could not decrease the infection rate. The main infection sites was respiratory tract, the pathogen was main gram-negative bacilli and fungi. Concusion The acute cerebrovascular disease was the susceptible population in hospital infection, elderly, hospitalization time, disturbance of consciousness, invasive manipulation were the main high risk factors, they must be monitored and treated.

关 键 词：急性脑血管病 临床特征 预防 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R978.1[医药卫生—临床医学]