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老年脑卒中患者医院获得性肺炎特点及危险因素分析
引用本文:谷素洁,曾明,石晓磊,印红梅,杨荣丽,杨峰,崔哲,段颖. 老年脑卒中患者医院获得性肺炎特点及危险因素分析[J]. 中华医院感染学杂志, 2011, 21(23): 4944-4946
作者姓名:谷素洁  曾明  石晓磊  印红梅  杨荣丽  杨峰  崔哲  段颖
作者单位:1. 解放军第211医院干部病房
2. 解放军第211医院感染控制科
3. 解放军第211医院检验科,黑龙江哈尔滨,150086
摘    要:
目的 探讨老年脑卒中患者医院获得性肺炎(HAP)的特点和危险因素.方法 对202例住院的老年脑卒中患者发生医院获得性肺炎特点及危险因素进行回顾性分析.结果 202例老年脑卒中患者中发生HAP 54例,感染率为26.7%,例次感染率为49.0%;病原菌以革兰阴性杆菌为主,分离得到革兰阴性菌42株,占61.8%;住院时间>30 d、抗菌药物滥用及有侵入性操作的老年脑卒中患者HAP发生率明显高于住院时间≤30 d、无抗菌药物滥用及无侵入性操作患者,两者差异有统计学意义(P<0.05).结论 老年脑卒中患者是HAP高发人群,住院时间长、侵人性操作及滥用抗菌药物等是HAP的危险因素,故积极采取综合防范措施,减少危险因素,是降低HAP发生率的关键.

关 键 词:老年脑卒中患者  医院获得性肺炎  危险因素

Characteristics and risk factors of hospital-acquired pneumonia in elderly stroke patients
GU Su-jie , ZENG Ming , SHI Xiao-lei , YIN Hong-mei , YANG Rong-li , YANG Feng , CUI Zhe , DUAN Ying. Characteristics and risk factors of hospital-acquired pneumonia in elderly stroke patients[J]. Chinese Journal of Nosocomiology, 2011, 21(23): 4944-4946
Authors:GU Su-jie    ZENG Ming    SHI Xiao-lei    YIN Hong-mei    YANG Rong-li    YANG Feng    CUI Zhe    DUAN Ying
Affiliation:GU Su-jie,ZENG Ming,SHI Xiao-lei,YIN Hong-mei,YANG Rong-li,YANG Feng,CUI Zhe,DUAN Ying (211 Hospital of PLA,Harbin,Heilongjiang 150086,China)
Abstract:
OBJECTIVE To investigate the characteristics and risk factors of hospital-acquired pneumonia(HAP) in elderly stroke patients. METHODS A retrospective study was performed on the characteristics and risk factors of HAP in 202 elderly stroke patients. RESULTS Of 202 elderly stroke patients,54 patients got the HAP,the incidence rate was 26.7%,the case-time rate was 49.0%.The percentage of HAP was 30.1% among total nosocomial infection patients during the same period.The main pathogens were Gram-negatives(61.8%)...
Keywords:Elderly stroke patients  Hospital-acquired pneumonia  Risk factors  
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