CAJ | 학술논문

目的：分析神经外科康复病房医院感染的发生率、病原菌及危险因素，制定有效干预措施。方法对2009年1月至2011年12月神经外科康复病房收治的1309例患者采取目标性监测及回顾性调查。结果发生医院感染130例，感染率为9.9%；感染143例次，例次率感染率为10.9%；感染部位以下呼吸道居首位，占52.4%，其次是泌尿道，占21.0%，病原菌以革兰阴性菌为主，占73.0%，下呼吸道感染以铜绿假单胞菌为主，占44.7%。结论神经外科康复病房患者易发生医院感染，与意识障碍、患者住院时间长、免疫功能低下、气管切开后正常呼吸道破坏、侵入性操作等危险因素有关。
목적：분석신경외과강복병방의원감염적발생솔、병원균급위험인소，제정유효간예조시。방법대2009년1월지2011년12월신경외과강복병방수치적1309례환자채취목표성감측급회고성조사。결과발생의원감염130례，감염솔위9.9%；감염143례차，례차솔감염솔위10.9%；감염부위이하호흡도거수위，점52.4%，기차시비뇨도，점21.0%，병원균이혁란음성균위주，점73.0%，하호흡도감염이동록가단포균위주，점44.7%。결론신경외과강복병방환자역발생의원감염，여의식장애、환자주원시간장、면역공능저하、기관절개후정상호흡도파배、침입성조작등위험인소유관。
Objective To investigate the nosocomial infection incidence、pathogens and risk factors in rehabilitation ward of neurosurgery department, and take effective control measures. Methods An target-detection and retrospective investigation for 1309 inpatients who were accepted in rehabilitation ward of neurosurgery department between Jan 2009 and Dec 2011. Results Totally 130cases occurred in hospital infections , the rate of nosocomial infection was 9.9%, and case-time infection rate was 10.9%;the top infection position was lower respiratory tract infections, accounting for 52.4%;the second position was urinary tract, accounting for 21.0%;gram-negative bacteria were the predominant pathogens, accounting for 73.0%;Pseudomonas aeruginosa were predominant pathogens in lower respiratory tract, accounting for 44.7%. Conclusion The incidence of hospital infections is high in neurosurgical patients, and it was correlated with many risk factors, such as disturbance of consciousness、long length of staying in hospital、immunocompromised、invasive procedures, etc.