神经外科医院感染特点及易感因素分析  

The characteristics and predisposing factors of patients with nosocomial infection in neurosurgery

作　　者：彭昌海 陈汉明 夏俊标 叶建俊 

机构地区：[1]广东高要市人民医院,肇庆526100

出　　处：《中国实用神经疾病杂志》2013年第15期21-23,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的了解神经外科的医院感染特点,并探讨神经外科患者医院感染的易感因素,以控制和减少医院感染率。方法采取目标监测及回顾性调查的方法,对2010—2011年入住神经外科的1 844例患者的临床资料进行统计。结果 1844例住院患者中查出188例医院感染,神经外科医院感染率10.19%,显著高出同期的医院平均感染率4.7%,感染205例,发病率11.11%,同样高于同期医院平均感染例次发病率5.2%;感染部位的构成比以下呼吸道最高,为43.16%,其次为泌尿系统(18.96%)和消化系统(13.69%);神经外科病房医院感染的发生与患者年龄、住院时间、昏迷、手术时间长和侵入性操作等因素有关。结论神经外科医院感染率明显高于其他科室,需采取综合性的防范措施才能有效降低医院感染发病率。Objective To investigate the characteristics and predisposing factors of nosocomiat infection in neurosurgery in order to control and lower the infection rate. Methods The data of 1844 neurosurgical inpatients from 2010 to 2011 were retro- spectively analyzed by using the goal monitoring and survey method. Results Totally 188 cases of 1844 neurosurgical inpatients had hospital infection （accounting for 10.19~）, which was significantly higher than average hospital infection rate of at the same period （4.7~//oo）. The highest infection part was the lower respiratory tract. The incidence of neurosurgery ward hospital infection was related to the age of patients, hospitalization time, coma, longer operation time and invasive opera- tions. Conclusion The infection of neurosurgery hospital is significantly higher than that of other departments, which need to take comprehensive preventive measures to reduce the incidence of nosocomial infection.

关 键 词：神经外科 医院感染 易感因素 

分 类 号：R19[医药卫生—卫生事业管理]