神经外科患者医院感染的目标性监测

目的了解神经外科住院病人医院感染情况和危险因素,制定预防控制措施。方法采取目标性监测方法,对某医院神经外科住院患者进行医院感染率和危险因素的调查。结果共调查住院患者958例,发生医院感染96例,106例次,医院感染发生率为10.02%、例次感染率11.06%。病人接受气管切开、吸痰、使用呼吸机、留置导尿管等侵入性操作构成医院感染主要危险因素;病人昏迷、住院时间较长、长期大量使用抗菌药物与感染的发生有一定相关性。结论该医院神经外科是医院感染的高发科室,危险因素较多,应采取综合的干预措施才能有效地降低医院感染的发生。

OBJECTIVE MONITORING ON NOSOCOMIAL INFECTION OF NEUROSURGERY PATIENTS

Objective To konw the situation and risk factors of nosocomial infection of neurosurgery inpatients and to make preventions and control measures.Methods Objective monitoring was used to investigate the nosomial infection rate and risk factors among the neurosurgery inpatients.Results 958 cases of inpatients were investigated,96 cases and 106 case-times had nosocomial infection.Nosocomial infection rate was 10.02%,case-time rate was 11.06%.Invasive procedures such as tracheotomy,sputum suction,ventilation and using of indwelling catheters were the main risk factors of nosocomial infection.Coma,long-time hospitalized,long-time and heavy usage of antibiotics had relationship with nosocomial infection.Conclusion Neurosurgery of this hospital is a high incidence area of nosocomial infection and there are many risk factors.Comprehensive precautions should be taken effectively to reduce the nosocomial infection rate.