中国感染控制杂志
中國感染控製雜誌
중국감염공제잡지
CHINESE JOURNAL OF INFECTION CONTROL
2014年
11期
662-664
,共3页
神经外科%高血压%脑出血%医院感染%危险因素
神經外科%高血壓%腦齣血%醫院感染%危險因素
신경외과%고혈압%뇌출혈%의원감염%위험인소
neurosurgery%hypertension%intracerebral hemorrhage%healthcare-associated infection%risk factor
目的:研究某院神经外科高血压脑出血住院患者医院感染的危险因素,为医院感染的预防与控制提供依据。方法对2013年1—12月该院380例高血压脑出血住院患者病历资料进行分析。结果380例患者,发生医院感染36例,医院感染率为9.47%。感染部位居前3位的是下呼吸道、手术切口及泌尿道,分别占50.00%、16.67%、11.11%。共分离病原菌51株,其中革兰阴性杆菌33株(64.71%),革兰阳性球菌18株(35.29%);排名前3位的病原菌依次为表皮葡萄球菌(19.61%)、肺炎克雷伯菌(17.65%)和大肠埃希菌(13.73%)。危险因素分析结果显示,合并基础疾病、侵入性操作、使用呼吸机、长时间使用抗菌药物及住院时间长是导致高血压脑出血患者医院感染的危险因素(均P<0.05)。结论神经外科高血压脑出血患者医院感染率较高,应加强其医院感染监测,并针对危险因素采取有效预防控制措施。
目的:研究某院神經外科高血壓腦齣血住院患者醫院感染的危險因素,為醫院感染的預防與控製提供依據。方法對2013年1—12月該院380例高血壓腦齣血住院患者病歷資料進行分析。結果380例患者,髮生醫院感染36例,醫院感染率為9.47%。感染部位居前3位的是下呼吸道、手術切口及泌尿道,分彆佔50.00%、16.67%、11.11%。共分離病原菌51株,其中革蘭陰性桿菌33株(64.71%),革蘭暘性毬菌18株(35.29%);排名前3位的病原菌依次為錶皮葡萄毬菌(19.61%)、肺炎剋雷伯菌(17.65%)和大腸埃希菌(13.73%)。危險因素分析結果顯示,閤併基礎疾病、侵入性操作、使用呼吸機、長時間使用抗菌藥物及住院時間長是導緻高血壓腦齣血患者醫院感染的危險因素(均P<0.05)。結論神經外科高血壓腦齣血患者醫院感染率較高,應加彊其醫院感染鑑測,併針對危險因素採取有效預防控製措施。
목적:연구모원신경외과고혈압뇌출혈주원환자의원감염적위험인소,위의원감염적예방여공제제공의거。방법대2013년1—12월해원380례고혈압뇌출혈주원환자병력자료진행분석。결과380례환자,발생의원감염36례,의원감염솔위9.47%。감염부위거전3위적시하호흡도、수술절구급비뇨도,분별점50.00%、16.67%、11.11%。공분리병원균51주,기중혁란음성간균33주(64.71%),혁란양성구균18주(35.29%);배명전3위적병원균의차위표피포도구균(19.61%)、폐염극뢰백균(17.65%)화대장애희균(13.73%)。위험인소분석결과현시,합병기출질병、침입성조작、사용호흡궤、장시간사용항균약물급주원시간장시도치고혈압뇌출혈환자의원감염적위험인소(균P<0.05)。결론신경외과고혈압뇌출혈환자의원감염솔교고,응가강기의원감염감측,병침대위험인소채취유효예방공제조시。
Objective To study the risk factors for healthcare-associated infection (HAI)in neurosurgical patients with hypertensive intracerebral hemorrhage,and provide the basis for prevention and control of HAI. Methods Clinical data of 380 hospitalized patients with hypertensive intracerebral hemorrhage from January to December 2013 were analyzed. Results Of 380 patients,36 (9.47% )had HAI. The top three sites of infection were lower respiratory tract (50.00% ),surgical incision (16.67% )and urinary tract(11.11% ). A total of 51 pathogens were isolated,among which gram-negative bacilli and gram-positive cocci accounted for 64.71% (n= 33)and 35.29% (n= 18)respective-ly. The top three pathogens included Staphylococcus aureus (19.61% ),Klebsiella pneumoniae (17.65% )and Escherichiacoli (13.73% ). Risk factors for HAI in hypertensive intracerebral hemorrhage patients were combined underlying diseases,invasive procedures,use of respirator,prolonged use of antimicrobial agents and long length of hospitalization(P<0.05). Conclusion HAI rate is high in neurosurgical patients with hypertensive intracerebral hemorrhage,surveillance should be intensified,and effective preventive and control measures against risk factors should be taken.