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王飞, 张秀月, 王大南, 齐月, 孙明珠. 神经外科病房医院感染情况调查[J]. 中国公共卫生, 2012, 28(11): 1483-1485. DOI: 10.11847/zgggws2012-28-11-31
引用本文: 王飞, 张秀月, 王大南, 齐月, 孙明珠. 神经外科病房医院感染情况调查[J]. 中国公共卫生, 2012, 28(11): 1483-1485. DOI: 10.11847/zgggws2012-28-11-31
WANG Fei, ZHANG Xiu-yue, WANG Da-nan, . Nosocomial infections in neurosurgery ward[J]. Chinese Journal of Public Health, 2012, 28(11): 1483-1485. DOI: 10.11847/zgggws2012-28-11-31
Citation: WANG Fei, ZHANG Xiu-yue, WANG Da-nan, . Nosocomial infections in neurosurgery ward[J]. Chinese Journal of Public Health, 2012, 28(11): 1483-1485. DOI: 10.11847/zgggws2012-28-11-31

神经外科病房医院感染情况调查

Nosocomial infections in neurosurgery ward

  • 摘要: 目的探讨中国医科大学附属盛京医院神经外科病房医院感染的临床特点、易感因素及其预防控制措施。方法对神经外科2009年1月—2010年6月住院患者的临床资料进行统计,分析医院感染患者的基本入院情况、感染部位、病原菌种类及易感因素。结果3 454例神经外科住院患者共发生医院感染156例,感染率为4.52%(156/3 454);感染例次数为192例次,感染例次率为5.56%(192/3 454);医院感染患者住院费用和住院天数分别为(108 083.37±68 180.47)元、(50.37±43.48)d,均明显高于普通患者的(22 307.79±16 390.74)元、(13.94±10.87)d,差异均有统计学意义(t=10.31、15.64,P<0.01);其感染部位中,手术部位、下呼吸道及泌尿道感染例次率分别为2.43%(84/3 454)、2.06%(71/3 454)及0.49%(17/3 454);易感因素中,颅内置管、术后入住重症监护病房、抗生素应用不合理导致患者发生医院感染分别占55.77%(87/156)、65.38%(102/156)和94.23%(147/156);病原菌主要为铜绿假单胞菌、鲍曼不动杆菌、和金黄色葡萄球菌,分别占24.14%(21/87)、21.84%(19/87)和14.94%(13/87)。结论中国医科大学附属盛京医院神经外科病房医院感染部位以手术部位为主,患者发生医院感染具有多种易感因素和危险因素,应根据具体情况采取有针对性的预防控制措施。

     

    Abstract: ObjectiveTo examine clinical characteristics,risk factors and prevention measures of nosocomial infections in neurosurgical patients.MethodsThe clinical data of neurosurgical inpatients form Jan 2009 to Jun 2010 were analyzed for incidence and pathogenic bacterium of nosocomial infections.ResultsAmong the 3 454 patients,the incidence of nosocomial infection was 4.52% (156/3 454)with 192 patient times infection(5.56%).The main sites of the infection were surgical site(2.43%,84),lower respiratory tract(2.06%,71)and urinary tract(0.49%,17).The main risk factors for the infections were intracranial tube(55.77%,87/156),staying in intensive care ward after surgery (65.38%,102/156)and unsuitable use of antibiotics(94.23%,147/156).The most common pathogens of the infections were Pseudomonas aeruginosa(24.14%,21/87),Acinetobacter baumannii(21.84%,19/87),and Staphylococcus aureus(14.94%,13/87).ConclusionSurgical site infection is predominant among the neurosurgical nosocomial infections.Many risk and susceptible factors relate to nosocomial infection in neurosurgical patient and specific preventive and control measures should be taken according to the specific circumstances.

     

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