脑卒中合并医院感染临床分析

目的探讨脑卒中的预后与医院感染的关系。方法对651例脑卒中患者进行医院感染多因素分析。结果本组患者医院感染率为19.81%;出血性者医院感染率(25.73%)较缺血性者(13.27%)高;分离菌株以革兰阴性菌(64.64%)及真菌(20.73%)为主;呼吸系感染占首位(62.79%);脑卒中合并医院感染者病死率(6.98%)高于非感染者(2.49,P<0.05)。结论脑卒中的感染率与年龄、临床类型、住院日、糖尿病及病情严重程度有关。

Clinical Analysis of Nosocomial Infection in Patients with Stroke

Objective To investigate the relationship between the prognosis and the nosocomial infection in stroke.Methods The multiple factors of nosocomial infection were analysed in 651 patients with stroke.Results The nosocomial infection rate of stroke was 19.81% in those patients.The nosocomial infection rate in patients above the age of 60 years was higher than that in patients below the age of 60 years,in hemorrhagic stroke was higher than that in ischemic stroke.The pathogens inducing nosocomial infection were predominantly Gram-negative bacillus and fungi.The most common place of infection was respiratory system.The mortality of patients with nosocomial infection after stroke was higher than that without nosocomial infection(P<0.05).Conclusion Nosocomial infection rate in patients with stroke significantly associates with such factors,as age,clinical type,diabetes mellitus,duration in hospital and level of serious ill.