外伤性截瘫患者医院感染相关因素分析  

Correlative Factors of Nosocomial Infection in Patients with Traumatic Paraplegia

作　　者：蔡琳[1] 黄琴香[1] 吴旭丽[1] 

机构地区：[1]温州医学院附属温岭医院,浙江温岭317500

出　　处：《中华医院感染学杂志》2010年第4期500-501,共2页Chinese Journal of Nosocomiology

摘　　要：目的了解外伤性截瘫患者医院感染的发病率、感染部位及相关因素，为有针对性进行预防与控制医院感染的发生提供依据。方法对2004年1月-2008年12月出院的168例外伤性截瘫患者进行回顾性调查，通过查阅患者的病案资料，按照事先设计的项目逐一登记并进行统计汇总。结果发生医院感染55例、69例次，医院感染率32．74％、例次感染率41．07％；感染部位主要为泌尿道31例次（44．93％）、其次为呼吸道19例次（27．53％）、皮肤软组织13例次（18．84％）；医院感染相关因素与住院时间、截瘫程度、年龄、手术及侵入性操作有关（P〈0．01）；医院感染病原菌主要是条件致病菌，以G^-菌为主。结论针对相关因素，尽量减少侵入性操作、缩短住院时间、加强基础护理、严格无菌观念，以减少医院感染的发生。OBJECTIVE To understand the incidence of nosocomial infection, its site and correlative factors of patients with traumatic paraplegia, so as to provide the evidence of preventing and controlling nosocomial infection. METHODS A retrospective analysis on discharged patients record of 168 cases with traumatic paralegia from Jan 2004 to Dec 2008 was taken. RESULTS Among 168 cases, the occurrence rate and case rate of nosocomial infection was 32. 74% （55 cases） and 41. 07% （69 case-times）, respectively. The urinary tract infection ranked in the first （31 cases, 44. 93%） and the next were respiratory airway infection （19 cases, 27.53%）, and skin and soft tissue infection（13 cases, 18.84%）. The correlative factors of nosocomial infection were length of hospital stay, the severity of paraplegia, age, surgery and invasive operations （P〈0. 01）. The primary pathogenic bacteria of nosocomial infection were opportunity pathogenes, mainly Gram-negative bacteria. CONCLUSIONS It is necessary to decrease invasive operations, shorten the length of hospital stay, stregnthen the basic nursing care and the aseptic concept to decrease the incidence of nosocomial infection.

关 键 词：截瘫 医院感染 相关因素 病原菌 

分 类 号：R181.32[医药卫生—流行病学]