神经康复科患者医院感染调查分析  

Investigation and analysis of nosocomial infections of in-patients from neurological rehabilitation department

作　　者：赵徐萍 曹玲珍[1,2] 姚敏红[1,2] 

机构地区：[1]无锡市精神卫生中心 [2]无锡同仁国际康复医院医院感染管理科,江苏无锡214151

出　　处：《中华医院感染学杂志》2014年第19期4824-4825,4832,共3页Chinese Journal of Nosocomiology

基　　金：无锡市科技发展计划基金项目(CSE01018)

摘　　要：目的分析神经康复科患者医院感染的流行病学特征,探讨有效预防与控制神经康复患者医院感染的措施。方法采用回顾性调查方法对2012年1-12月在接受神经康复的2 641例患者进行医院感染监测,并对其发生医院感染相关因素进行分析,采用SPSS13.0统计软件对数据进行处理。结果 2 641例神经康复出院患者发生医院感染72例,感染率为2.7%,第一季度医院感染率最高>3.0%;感染部位以呼吸道为主占65.3%,其次为泌尿道占29.2%,基础疾病以脑梗死为主占47.2%,其次为脑出血占33.4%;医院感染患者住院时间越长,发生医院感染的危险性越大;接受侵入性操作23例占31.9%,抗菌药物单一使用46例、二联使用21例、三联使用5例,分别占63.9%、29.2%、6.9%,其中经验用药58例占80.5%,给药途径静脉滴注65例占90.3%。结论应针对神经康复患者特点,及时采取有效预防与控制措施,是减少医院感染发生的关键。OBJECTIVE To study the epidemiological characteristics of nosomial infections in neurological rehabilitation department and discuss effective measures to prevent and control nosocomial infections from in-patients of neurological rehabilitation department.METHODS A retrospective study was carried out to learn the nosocomial infections of 2,641in-patients received by neurological rehabilitation department in our hospital from January to December in 2012,and to analyze the relative factors with nosocomial infections.Data were processed with SPSS13.0.RESULTS Out of 2,641 cases,72patients caught nosocomial infections and the infection rate was2.73%.The highest nosocomial infection rate was in the first quarter（〉3.0%）.The main infection site was the respiratory tract（65.3%）,followed by the urinary tract（29.2%）.The main underlying disease was cerebral infarction（47.2%）,followed by cerebral hemorrhage（33.4%）.Hospitalization duration increased the risk for nosocomial infection.There were 23 cases received invasive operation（31.9%）.The percentage of mono-,bi-and triantibiotics medication was respectively 63.9 %（46cases）,29.2 %（21cases）and 6.9%（5cases）.Cases received experience-directed medication accounted for 80.5%（58cases）and those received intravenous infusion accounted for 90.3%（65cases）.CONCLUSIONThe key to reducing nosocomial infection rate was to take timely effective preventive and control measures,according to the characteristics of neurological rehabilitation patients.

关 键 词：神经康复科 患者 医院感染 调查分析 

分 类 号：R181.32[医药卫生—流行病学]