脑血管病介入治疗患者医院感染危险因素分析与干预措施  

Risk factors and interventions of nosocomial infections for patients with cerebrovascular diseases

作　　者：徐辉[1] 陈宏尊[1] 崔正华[1] 邹宇辉[1] 

机构地区：[1]解放军第425医院外三科,海南三亚572000

出　　处：《中华医院感染学杂志》2016年第7期1575-1576,1587,共3页Chinese Journal of Nosocomiology

基　　金：国家自然科学基金青年基金资助项目(81302201)

摘　　要：目的探讨脑血管病介入治疗患者医院感染的危险因素,并提出干预措施,为临床诊治提供参考依据。方法选择2012年1月-2014年12月实施脑血管病介入治疗患者153例,分析患者感染率、病原菌分布及医院感染危险因素,数据采用SPSS 21.0软件进行统计分析。结果 153例患者发生医院感染22例,感染率14.38%;共分离出26株病原菌,以肺炎克雷伯菌为主,共12株占46.15%;多因素分析显示,基础疾病、气管插管、留置尿管、格拉斯哥昏迷评分是脑血管介入治疗发生医院感染的独立危险因素(P<0.05)。结论基础疾病、气管插管、留置尿管、格拉斯哥昏迷评分是脑血管介入治疗发生医院感染的危险因素,临床应加强基础护理及无菌操作等,以降低医院感染率。OBJECTIVE To investigate risk factors and interventions of nosocomial infections for patients with cerebrovascular diseases,and to provide a reference for clinical treatment.METHODS From Jan.2012 to Dec.2014,153 patients with cerebrovascular diseases and treated by interventional therapy were selected.Infection rate,distribution of pathogens,and risk factors of hospital infections were analyzed.Data were analyzed with SPSS 21.0.RESULTS Among 153 subjects,22patients were infected,and infection rate was 14.38%.A total of 26 pathogens were isolated,among which Klebsiella pneumoniae were the main species,accounting for 46.15%.Multivariate analysis showed that underlying disorders,endotracheal intubation,indwelling catheter,Glasgow coma score were risk factors of hospital infections for patients treated by cerebrovascular intervention（P〈0.05）.CONCLUSION Underlying disorders,endotracheal intubation,indwelling catheter,Glasgow Coma Scale are risk factors of nosocomial infections for patients received cerebral vascular interventional treatment.Clinically,primary care and aseptic techniques should be strengthened to reduce incidence of nosocomial infections.

关 键 词：脑血管病 介入治疗 医院感染 危险因素 

分 类 号：R743[医药卫生—神经病学与精神病学]