脑卒中患者医院感染相关因素分析  

Nosocomial Infection among Patients with Stroke:Analysis of Correlative Factors

作　　者：陈素平[1] 黄琴香[1] 

机构地区：[1]温州医学院附属温岭医院护理部,浙江温岭317500

出　　处：《中华医院感染学杂志》2010年第17期2584-2585,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨脑卒中患者医院感染特点,分析医院感染的相关因素,采取有效控制措施以预防医院感染的发生。方法对2009年1-6月出院的781例脑卒中患者进行回顾性调查、分析。结果发生医院感染157例,188例次,医院感染率20.10%,例次感染率24.07%;感染部位以下呼吸道为主占42.55%,其次是泌尿道感染为28.19%;医院感染的发生与年龄、侵入性操作、住院天数、卒中类型、意识障碍及合并糖尿病有关(P<0.01),与性别无关(P>0.05)。结论严格掌握侵入性操作适应证,遵守无菌操作规程,尽量缩短住院天数,积极治疗慢性疾病。OBJECTIVE To explore the features and the correlative factors of nosocomial infection in stroke patients in order to take effective measures to prevent nosocomial infection.METHODS A retrospective analysis of discharged patients′ records of 781 cases with stroke from Jan to Jun 2009 was made.RESULTS Among 781 cases,the occurrence rate and case rate of nosocomial infection were 20.10%（157 cases） and 24.07%（188 case-times）,respectively.The incidence of lower respiratory tract infection was the highest（42.55%） and the next was urinary tract infection（28.19%）.The correlative factors were age,invasive operations,hospitalization duration,type of stroke,consciousness and diabetes mellitus（P0.01） except for gender（P0.05）.CONCLUSION It is necessary to strictly grasp invasive operation indications,abide by the rules of aseptic technique,shorten the hospitalization days and treat chronic disease actively to decrease the incidence of nosocomical infection.

关 键 词：脑卒中 医院感染 危险因素 

分 类 号：R181.32[医药卫生—流行病学]