某院神经内科患者院内感染危险因素分析

目的探讨某院神经内科患者院内感染的危险因素,为院内感染防控提供依据。方法采用病例对照研究,按照性别和年龄(±3岁)两因素1∶1配对,分析某院2012年2月至2013年2月共计40例神经内科患者发生院内感染的危险因素。结果共调查998例患者,发生院内感染40例,感染率4.0%,经条件Logistic回归分析显示,住院日数(OR 95%CI:1.732¹.908)、纯气管切开和气管插管/气管切开机械通气(OR 95%CI:3.8881.908)、纯气管切开和气管插管/气管切开机械通气(OR 95%CI:3.888⁴.144)、留置尿管(OR 95%CI:1.1454.144)、留置尿管(OR 95%CI:1.145¹8.891)、抗菌药物使用>2种(OR 95%CI:3.77518.891)、抗菌药物使用>2种(OR 95%CI:3.775⁵.786)、抗菌药物使用时间>2周(OR 95%CI:0.9155.786)、抗菌药物使用时间>2周(OR 95%CI:0.915².871)是神经内科患者发生院内感染的重要危险因素。结论神经内科患者发生院内感染是多种因素共同作用的结果,采用切实有效的防控措施,有助于减少院内感染的发生,提高患者的预后生活质量。

Relevant risk factors analysis for nosocomial infection patients of neurology department in a hospital

Objective To investigate the relevant risk factors for patients of neurology department in a hospital , so as to provide reference for controlling nosocomial infection. Methods Clinical date of 40 cases of nosocomial infection in neurology department were analyzed retrospectively through case-control study and matched 1∶1 according to gender and age （±3 years） from Feb. 2012 to Feb. 2013, and then reached the nursing strategy. Results There were 40 cases of nosocomial infection patients in 998 patients. According to conditional Logistic regression analysis , the results showed that length of stay（OR 95%CI：1.732-1.908）, incision of trachea and tracheal intubation/mechanical ventilation（OR 95%CI：3.888-4.144）, the indwelling catheter （OR 95%CI： 1.145-18.891）, use of antibacterial drugs ＆gt;2 types （OR 95%CI：3.775-5.786） and duration＆gt;2 weeks （OR 95%CI： 0.915-2.871） were risk factors for nosocomial infection patients of neurology department. Conclusion There are multiple factors contributed to the occurrence of nosocomial infection in neurology department. Taking comprehensive prevention and control measures is conductive to decrease the incidence of nosocomial infection and improve the prognosis and quality of life of patients.