神经系统疾病患者医院感染发生情况及影响因素调查

目的 调查分析神经系统疾病患者医院感染发生情况及影响因素。方法 选取2020年1月至2021年12月句容市中医院收治的60例神经系统疾病患者为研究对象,将发生院内感染患者11例纳入感染组,将未发生医院感染患者49例纳入未感染组。收集两组患者一般资料,对患者医院感染部位、感染菌种进行统计,采用单因素及Logistic回归分析法明确影响神经系统疾病患者医院感染的危险因素。结果 60例患者中11例(18.33%)发生医院感染,感染部位包括呼吸、消化、皮肤黏膜、泌尿系统。11例院感患者共检出15株病原菌,包括革兰阴性菌8株(53.33%),革兰阳性菌5株(33.33%),真菌2株(13.33%)。感染组患者年龄大,住院时间长,合并糖尿病、高血压,留置导尿管、重复使用抗生素或激素占比高于未感染组患者(P<0.05),病房每日消毒次数低于未感染组患者(P<0.05);多因素Logistic回归分析显示,年龄、住院时间、病房每日消毒次数、留置导尿管、重复使用抗生素或激素均是影响患者院内感染的危险因素(P<0.05)。结论 神经系统疾病患者医院感染发生率较高,以呼吸、泌尿系统感染为主,年龄、住院时间、病房每日消毒次数、留置导尿管、重复使用抗生素或激素均是常见危险因素,应重视上述因素的调控干预。

Nosocomial infection and its influencing factors in patients with nervous system diseases

Abstract: Objective To investigate and analyze the incidence and influencing factors of nosocomial infection in patients with nervous system diseases, so as to provide reference for the prevention and control of nosocomial infection in patients with nervous system diseases. Methods From January 2020 to December 2021, 60 patients with nervous system diseases admitted to Jurong Traditional Chinese Medicine Hospital were selected as the research objects. 11 patients with hospital infection were included in the study group, and 49 patients without hospital infection were included in the control group. The general data of the two groups of patients were collected, and the hospital infection site and bacterial species of the patients were counted. The single factor and logistic regression analysis were used to determine the risk factors of hospital infection in patients with nervous system diseases. Results Of the 60 patients, 11 (18.33%) had nosocomial infection, including respiratory, digestive, skin and mucous membrane, and urinary system. A total of 15 strains of pathogenic bacteria were detected in 11 hospital infection patients, including 8 strains of Gram negative bacteria (53.33%), 5 strains of Gram positive bacteria (33.33%), and 2 strains of fungi (13.33%). The age, length of stay, diabetes, hypertension, indwelling catheter, repeated use of antibiotics or hormones in the study group were higher than those in the control group (P; Multivariate logistic regression analysis showed that age, length of stay in hospital, daily disinfection times in the ward, indwelling catheter, repeated use of antibiotics or hormones were all risk factors for nosocomial infection (P<0.05). Conclusion The incidence of nosocomial infection in patients with nervous system diseases is relatively high, mainly respiratory and urinary system infections. Age, length of stay in hospital, daily disinfection times in wards, indwelling urinary catheters, repeated use of antibiotics or hormones are common risk factors, and attention should be paid to the regulation and intervention of these factors.