中医院神经内科医院感染的调查与分析

目的分析并探讨医院神经内科患者医院感染发病率、病原菌、危险因素等特点以寻找有效地防治措施。方法对神经内科2002年1月-2004年12月出院患者发生医院感染的发病率、感染部位、各基础疾病医院感染发病率之间的差异、侵入性诊治致医院感染高发率等进行回顾性调查与分析。结果神经内科的医院感染发生率为4．73％，居全院第1位；以脑出血、帕金森病、蛛网膜下腔出血、脑梗死为基础疾病患者的医院感染发病率为高，医院感染部位以下呼吸道、泌尿道、上呼吸道为主；侵入性诊治致医院感染的发生率明显增高。结论神经内科医院感染发病率明显高于医院其他科室，患者接受多项侵入性诊疗、免疫功能低下等是医院感染的危险因素和易感因素，应作为全院医院感染预防与监控的重点科室。

Nosocomial Infection in Department of Neurology in Traditional Chinese Medicine Hospital:An Investigation and Analysis

OBJECTIVE To analyze the morbidity, the pathogen and the risk factors of nosocomial infection in department of neurology in our hospital for searching the effective prophylactico-therapeutic measures. METHODS On the basis of investigating the recovery patients in department of neurology in our hospital from Jan 2003 to Dec 2005, we analyzed the morbidity, the infected sites, the difference of the nosocomial infection among underlying diseases, and the high incidence of nosocomial infection induced by invasive examination and cure. RESULTS The morbidity of nosocomial infection in department of neurology was 4.73%, and this was the highest in our hospital The primary infected sites were the lower respiratory tract, the urinary tract and the upper respiratory tract, and the morbidity of nosocomial infective induced by invasion examination and cure increased obviously. CONCLUSIONS The morbidity of nosocomial infection in department of neurology is obviously above than other departments. Therefore, department of neurology should be emphasizeed to monitor, control and prevent nosocomial infection in the hospital.