神经外科重症监护室医院感染调查  

INVESTIGATION OF NOSOCOMIAL INFECTIONS IN NEUROSURGICAL INTENSIVE CARE UNIT

作　　者：方永军[1] 张毅[1] 胡珍渊[1] 周锋[1] 范小璇[1] 侯文[1] 

机构地区：[1]陕西中医学院附属医院,陕西咸阳712000

出　　处：《中国消毒学杂志》2013年第12期1145-1146,1150,共3页Chinese Journal of Disinfection

摘　　要：目的了解医院神经外科重症监护室住院患者医院感染状况,为制定防控措施提供参考。方法采用回顾性调查方法,对陕西中医学院附属医院神经外科重症监护室住院患者医院感染与病原菌分布进行调查。结果共调查该医院神经外科重症监护室住院患者426例,发生医院感染79例、91例次,医院感染率为18.54%、例次感染率为21.36%。其中下呼吸道感染占79.12%,颅内感染占15.38%。感染患者标本检出的病原菌以革兰阴性菌为主,占89.76%,以肺炎克雷伯菌、铜绿假单胞菌、鲍曼不动杆菌分居前三位。结论该医院神经外科重症监护室住院患者医院感染发生率较高,应重点加强肺部感染及颅内感染的防控。Objective To understand the status of nosocomial infection in Neurosurgical Intensive Care Unit （NICU） so as to provide reference for the prevention and control nosocomial infection. Methods The retrospective survey was used to investigate the nosocomial infection and pathogens distribution for inpatients in NICU of department of Cerebral Surgery in Af- filiated Hospital of Shanxi College of Traditional Chinese Medicine. Results Among investigated 426 cases in Neurosur- gery ICU of the hospital, 79 patients and 91 case -time were infected, the occurrence rate of infection was 18. 54%, and the case- time infection rate was 21.36%. The main infection site was the lower respiratory tract（79. 12% ）, then fol- lowed by infection of the intracranial（ 15.38% ）. The Gram - negative bacteria detected from infected patient specimens ac- counted for 89. 76%, and the top three strains were KlebsieUa pneumoniae, Pseudomonas aeruginosa, and Acinetobacter baumannii. Conclusion The occurrence rate of nosocomial infection in NICU patients of the hospital is high. We should strengthen the prevention and control of the lower respiratory tract infection and the intracranial infection.

关 键 词：神经外科 重症监护室 医院感染 病原菌 

分 类 号：R378[医药卫生—病原生物学]