急性脑血管病患者医院感染相关危险因素分析  

Analysis on related risk factors of nosocomial infections in patients with acute cerebrovascular diseases

作　　者：周华苏[1] 陈伟丽[2] 李美云[1] 

机构地区：[1]浙江省磐安县人民医院脑科,浙江磐安县322300 [2]浙江省磐安县人民医院医院院感科,浙江磐安县322300

出　　处：《中华医院感染学杂志》2015年第7期1576-1578,共3页Chinese Journal of Nosocomiology

基　　金：浙江省科技局基金资助项目(CR2009013)

摘　　要：目的调查急性脑血管疾病患者发生医院感染危险因素,探讨手卫生在控制医院感染中的作用,为降低医院感染的发生提供依据。方法回顾性分析2011年1月-2013年12月1 146例急性脑血管疾病患者临床资料,调查分析急性脑血管病患者发生医院感染的危险因素,采用SPSS 11.0软件进行统计分析。结果发生感染64例患者,感染率5.58%;共分离出85株病原菌其中以革兰阴性菌为主,共49株占57.65%;对医院感染的患者进行分析,发现患者的年龄、住院时间、GCS评分、不注重强化手卫生、侵入性操作等是发生医院感染的主要危险因素(P<0.05)。结论急性脑血管病患者发生医院感染的危险因素较多,强化手卫生对控制急性脑血管病患者医院感染切实有效,临床医师及护理人员应严格控制手部的卫生,降低医院感染的发生。OBJECTIVE To investigate the risk factors of nosocomial infections in the patients with acute cerebrovascular diseases and study the efficacy of intensive hand hygiene in controlling nosocomial infections,so as to provide reference for reducing nosocomial infections.METHODS A retrospective analysis was conducted on clinical data of 1146 patients with acute cerebrovascular diseases from Jan.2011 to Dec.2013 in our hospital to investigate risk factors of nosocomial infections in these patients.The software SPSS 11.0was used for statistical analysis.RESULTS Totally 64 patients had infections with the infection rate of 5.58%.A total of 85 pathogens were isolated,mainly including 49 strains of gram-negative bacteria which accounted for 57.65%.The analysis revealed that age,hospital stay,GCS scores,insufficient enhancement of hand hygiene and invasive operations,etc.,were main risk factors for nosocomial infections（P〈0.05）.CONCLUSION Many risk factors are related to nosocomial infections in patients with acute cerebrovascular diseases.Strengthening hand hygiene can effectively control this kind of infections.Clinicians and nurses should perform strict hand hygiene to reduce the incidence of nosocomial infections.

关 键 词：急性脑血管疾病 医院感染 危险因素 手卫生 

分 类 号：R181.32[医药卫生—流行病学]