10273例神经内科住院病人医院感染调查分析  

INVESTIGATION ON THE NOSOCOMIAL INFECTION OF 10273 CASES IN THE DEPART-MENT OF NEUROLOGY

作　　者：尚秀娟[1] 董爱英[1] 史素丽[1] 

机构地区：[1]华北煤炭医学院附属医院医院感染管理科,唐山063000

出　　处：《现代预防医学》2010年第14期2774-2775,共2页Modern Preventive Medicine

摘　　要：[目的]探讨神经内科住院患者医院感染发生特点及防治措施。[方法]采用回顾性调查方法对某地区5所综合性医院2008年1月-2009年4月神经内科10273例住院患者医院感染病例进行调查分析。[结果]感染516例,579例次,感染率为5.02%,例次率为5.64%,其中脑出血、蛛网膜下腔出血、脑梗死患者感染率最高,分别为8.38%、7.38%、5.66%;感染部位以下呼吸道、泌尿道、上呼吸道为主,分别占39.38%、27.46%、18.13%。[结论]积极治疗原发病,严格无菌操作、合理使用抗生素,能有效降低医院感染的发生。[Objective] To characterize the causes of nosocomial infection of in-patients in the department of neurology and to explore effective strategies of prevention and control.[Methods] A retrospective survey has been done on the nosocomial infection of 10 273 in-patient cases in the department of neurology at 5 local general hospitals during January 2008 and April 2009.[Results] The number of total cases was 516,the number of times was 579,the infection rate was 5.02%,and the rate of frequency was 5.64%.Moreover,among these cases,the higher infection rate was among patients with intracerebral hemorrhage,subarachnoid hemorrhage and cerebral infarction.The infection rates were 8.38%,7.38% and 5.66%,respective-ly.In addition,the infection occurred primarily in the lower respiratory tract,the urinary tract and the upper respiratory tract,accounted for 39.38%,27.46% and 18.13% in all investigated cases,respectively.[Conclusion] The rate of nosocomial in-fection may be reduced by treating the primary affection positively,strict asepsis operation and the reasonable antibiotic used.

关 键 词：神经内科 医院感染 病例分析 

分 类 号：R181.23[医药卫生—流行病学]