神经系统疾病患者医院感染发生情况及影响因素调查  

Nosocomial infection and its influencing factors in patients with nervous system diseases

作　　者：陈莹[1] CHEN Ying(Infection-Control Department,Jurong Traditional Chinese Medicine Hospital,Zhenjiang 212400,China)

机构地区：[1]句容市中医院院感科,江苏镇江212400

出　　处：《医药高职教育与现代护理》2022年第6期560-562,共3页Medical Higher Vocational Education and Modern Nursing

摘　　要：目的 调查分析神经系统疾病患者医院感染发生情况及影响因素。方法 选取2020年1月至2021年12月句容市中医院收治的60例神经系统疾病患者为研究对象,将发生院内感染患者11例纳入感染组,将未发生医院感染患者49例纳入未感染组。收集两组患者一般资料,对患者医院感染部位、感染菌种进行统计,采用单因素及Logistic回归分析法明确影响神经系统疾病患者医院感染的危险因素。结果 60例患者中11例(18.33%)发生医院感染,感染部位包括呼吸、消化、皮肤黏膜、泌尿系统。11例院感患者共检出15株病原菌,包括革兰阴性菌8株(53.33%),革兰阳性菌5株(33.33%),真菌2株(13.33%)。感染组患者年龄大,住院时间长,合并糖尿病、高血压,留置导尿管、重复使用抗生素或激素占比高于未感染组患者(P<0.05),病房每日消毒次数低于未感染组患者(P<0.05);多因素Logistic回归分析显示,年龄、住院时间、病房每日消毒次数、留置导尿管、重复使用抗生素或激素均是影响患者院内感染的危险因素(P<0.05)。结论 神经系统疾病患者医院感染发生率较高,以呼吸、泌尿系统感染为主,年龄、住院时间、病房每日消毒次数、留置导尿管、重复使用抗生素或激素均是常见危险因素,应重视上述因素的调控干预。Objective To investigate and analyze the incidence and influencing factors of nosocomial infection in patients with nervous system diseases. Methods From January 2020 to December 2021, a total of 60 patients with nervous system diseases in Jurong Traditional Chinese Medicine Hospital were selected. Eleven patients with nosocomial infections were included in the infection group, and 49 patients without hospital infections were included in the uninfected group. The general data of patients in both groups were collected, the site of hospital infection and the strain of infection were counted, and the risk factors affecting hospital infection in patients with neurological diseases were clarified by using univariate and Logistic regression analysis. Results Hospital-acquired infections occurred in 11 of 60 patients(18.33%), and the sites of infection included respiratory, digestive, skin mucosa, and urinary systems. A total of 15 pathogens strains were detected from 11 patients, including 8 Gram negative bacteria(53.33%),5 Gram positive bacteria(33.33%),and 2 fungi strains(13.33%). The age, length of stay, diabetes, hypertension, indwelling catheter, and repeated use of antibiotics or hormones were higher in the infection group than in the uninfected group(P<0.05),nevertheless daily disinfection times of the ward were lower than the control group(P<0.05);Multivariate Logistic regression analysis showed that age, length of stay in hospital, daily disinfection times of the ward, indwelling catheter, repeated use of antibiotics or hormones were all risk factors for nosocomial infection(P<0.05). Conclusions The incidence of nosocomial infection in patients with nervous system diseases in hospital is high, mainly focused on respiratory and urinary system infections. Age, length of stay in hospital, daily disinfection times of the ward, indwelling catheter, repeated use of antibiotics or hormones are all common risk factors, and more attention should be paid to the regulation and intervention the above factors.

关 键 词：神经系统疾病 医院感染 影响因素 调查分析 

分 类 号：R741[医药卫生—神经病学与精神病学] R446.5[医药卫生—临床医学]