《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (12): 1020-1020.

• 临床研究 • 上一篇    下一篇

神经康复科52例医院感染因素分析

周淑清; 李晨; 王继红; 张海青   

  1. 1.北京博爱医院 北京市 100068;2.首都医科大学康复医学院　北京市 100068
  • 收稿日期:2005-09-13 出版日期:2005-12-25 发布日期:2005-12-25

Analysis of 52 nosocomial infection cases in neurology rehabilitation department

ZHOU Shu-qing, LI Chen, WANG Ji-hong, et al   

  1. The Department of Nosocomial Infection, Beijing Charity Hospital, Beijing 100068, China
  • Received:2005-09-13 Published:2005-12-25 Online:2005-12-25

PDF (PC)

被引次数

5

摘要： 目的分析我院神经康复科医院感染危险因素。方法对神经康复科1431例出院患者的病历进行回顾性分析。结果1431例患者医院感染率3.63%;感染部位主要为呼吸道、泌尿道和皮肤软组织;主要病原菌为铜绿假单胞菌(30%)、金黄色葡萄球菌(25%)、鲍氏不动杆菌(20%),其次为链球菌(10%)和白色念珠菌(10%),其他病原菌5%。结论吞咽障碍饮水呛咳是脑卒中患者继发肺部感染的主要危险因素;年龄大、住院时间长、侵入性诊疗技术操作、不合理使用抗生素是呼吸道感染的相关因素。

关键词: 医院感染, 危险因素, 防治措施

Abstract: ObjectiveTo explore the risk factors causing nosocomial infection (NI) in patients with stroke.MethodsClinical data of 1431 stroke patients discharged from our hospital were analyzed retrospectively.ResultsThe NI incidence rate was 3.63 %. The most common infection sites were respiratory tract, urinary tract and parenchyma. The major pathogens were P. aeruginosa (30%), Stap. Aureus (25%), Acinetobacter baumannii/coalcoaceticus (20%), followed by Streptococcus (10%) and Candida albicans (10%).ConclusionThe main risk factor related to pulmonary NI of cerebral stroke patients is deglutition barrier; the occurrence of infection is also associated with age, invasive procedure and antimicrobial agents.

Key words: nosocomial infection (NI), risk factors, prevention measure