急性脑卒中患者医院感染调查分析

目的探讨急性脑卒中患者医院感染的特点及防治措施.方法对某院1998年1月-2002年12月出院的793例急性脑卒中患者的医院感染情况进行回顾性调查分析.结果793例患者医院感染率为18.03%;感染部位以呼吸道（上呼吸道占22.60%,下呼吸道占43.50%）和泌尿道（23.73%）为主.医院感染的发生与基础疾病、疾病严重程度、意识状态、应激性溃疡及侵入性操作、抗菌药物应用等密切相关.结论急性脑卒中患者是医院感染的高危人群,应重点监控.

Investigation and analysis on nosocomial infection in patients with acute cerebral apoplexy

Objective To evaluate the features and preventive strategies of nosocomial infection(NI) in patients with acute cerebral apoplexy(ACA).Methods NI was investigated and analyzed retrospectively among 793 ACA patients who were hospitalized from January,1998 to February 2002 in a hospital.Results NI rate was(18.03%),the main infection sites were respiratory tract(upper respiratory tract was(22.60%),lower respiratory tract was(43.50%)) and urinary tract((23.73%)).The occurrence of NI was related with the severity of diseases,state of consciousness,stress ulcer,invasive procedures and application of antimicrobial agents.Conclusion Patients with ACA are high risk population for NI ,who should be given intensive monitor.