急性脑卒中患者医院真菌感染危险因素调查

目的探讨急性脑卒中患者并发医院真菌感染情况及其危险因素。方法回顾性分析某院2002年1月-2005年6月住院治疗的253例急性脑卒中患者病历资料。结果253例患者中并发医院真菌感染13例,感染率为5.14%,其中脑出血者真菌感染率为9.28%(9/97),脑梗死者为2.56%(4/156)。感染部位以下呼吸道最多见,占46.15%(6/13);其次为泌尿道,占38.46%(5/13);消化道占15.39%(2/13)。抗菌药物应用、侵袭性操作、合并糖尿病是医院真菌感染的危险因素。结论应高度重视急性脑卒中患者并发医院真菌感染的预防,可针对危险因素,在临床治疗和护理过程中加强防护。

Risk factors of nosocomial-acquired fungus infection in patients with acute cerebral apoplexy

Objective To evaluate nosocomial-acquired fungus infection and risk factors in patients with acute cerebral apoplexy.Methods A retrospective study was carried out to investigate the clinical data of 253 inpatients with acute cerebral apoplexy in a hospital from January 2002 to June 2005.Results There were 13 patients infected with fungus,nosocomial infection rate was(5.14%),(9.28%)(9/97) and(2.56%)(4/156) of which was cerebral hemorrhage and cerebral infarction respectively.The lower respiratory tract was the most frequent infection site((46.15%)),followed by the urinary tract((38.46%)) and digestive tract((15.39%)).The risk factors for nosocomial fungus infection were application of antimicrobial agents,invasive procedure and diabetes.Conclusion Attention should be paid to clinical treatment and nursing care in order to lower the occurrence of the nosocomial fungus infection.