脑血管病患者医院感染分析

目的:了解脑血管病患者并发医院感染的危险因素,探讨脑血管病患者并发医院感染的相关危险因素.方法: 回顾性分析了2000年1月至2006年12月我院收治的脑血管病患者346例,选取其中出现医院感染的病例,分别记录相关资料.结果:脑血管病患者发生医院感染共61例(17.63%),感染菌以革兰氏阴性菌为主(59.02%),感染部位以下呼吸系统感染最常见(36.07%),其次是尿路感染(36.07%);年龄越大、意识障碍程度越重、住院天数越长、进行导尿等侵袭性操作的患者,越易出现医院感染.结论:医院感染是脑血管病患者医院感染的常见并发症之一,脑血管病患者医院感染的相关危险因素为年龄、意识障碍程度、导尿等侵袭性操作、住院天数等.患者一旦出现医院感染,其预后则差.

Analysis of Nosocomial Infection in Patients with Cerebrovascular Disease

Objective: To investigate nosocomial infection in patients with cerebrovascular disease.Method: A total of 346 in-patients from Jan.2000 to Dec.2006 in our department were investigated respectively.Result: The nosocomial infection rate was 17.63% in patients with cerebrovascular disease.The predominant pathogen of nosocomial infection was Gram negative bacilli(59.02%).Among in-patients with nosocomial infection,the lower respiratory tract infection was the highest(36.07%),the second one was the urinary tract(36.07%).The occurrence of nosocomial infection was associated with age,disorder of consciousness,nosocomial duration,and urethral catheter used.Conclusion: Nosocomial infection is still a high frequent complication in patients with cerebrovascular disease.The main risk factors of nosocomial infection in patients with cerebrovascular disease are age,disorder of consciousness,nosocomial duration,and urethral catheter used.