急性脑卒中836例医院感染的临床分析

目的　探明急性脑卒中的医院感染危险因素。方法　对 1996年 1月— 2 0 0 3年 1月神经内科住院的 836例急性脑卒中患者的住院资料进行回顾性分析。结果　 836例患者发生医院感染 15 2例 ,感染发生率 18 2 % ,其中 6 0岁以上患者占89 5 %。 93 4 %患者发生在入院 1周后 ,出血性脑卒中发生率高于缺血性卒中 (P <0 .0 5 )。感染部位以呼吸道、泌尿道为主。结论　医院感染的发生与发病年龄、住院天数、原发病及侵袭性操作有关

Nosocomial Infection of In-patients with Acute Stroke:A Clinical Analysis of 836 Cases

Objective To explore the risk factors of nosocomial infection in acute stroke. Methods Retrospetive survey was used on 836 hospitalazed patients with acute stroke in our hospital from 1996 to 2003.Results It was showed 152 cases of nosocomial infection were found among 836 cases with the acute stroke(18.2%).Among them, elderly patients (> 60 years old) accounted for 89.4%. 93.4% ofnosocomial infection occurred after 1 week since hospitalization.The infection rate in hemorrhagic stroke patients was statistically higher than that in ischemic stroke patients ( P <0.05)).The frequent infection site was respiratory trct and urinary tract.Conclusions Nosocomial infection was closely related with such factors as age,hospitalization duration,primary disease and invasive operation .