老年脑卒中患者院内感染的危险因素及护理对策

目的探讨老年脑卒中患者院内感染的危险因素及护理对策,有效地控制院内感染的发生。方法回顾性调查178例老年脑卒中患者的临床资料。结果有27例发生院内感染,发生院内感染以呼吸道、泌尿系、胃肠道、口腔等感染为主,与意识障碍、原有基础疾病、长期卧床、各种侵入性操作及抗生素不合理使用等有密切关系。结论加强病房管理及生活护理、严格掌握侵袭性操作的指征、严格无菌操作、重视医务人员手的卫生、合理使用抗生素等措施可有效地减少院内感染的发生。

Risk factors of nosocomial infection and nursing countermeasures in elderly patients with stroke

Objective To explore risk factors of nosocomial infection and nursing countermeasures in elderly patients with stroke in order to effectively control the nosocomial infection.Methods The clinical data of 178 patients with stroke were retrospectively analyzed.Results There were 27 cases of nosocomial infections,which mainly included respiratory infections,urinary tract infections,gastrointestinal infections,and oral infections.All these infections were closely connected with patients′ cognitive disorders,existing underlying diseases,long-term bed rest,varieties of invasive operations and irrational use of antibiotics.Conclusion Methods should be taken to reduce the incidence of nosocomial infections, such as strengthening management and nursing in wards,prevention of invasive operations,strict aseptic maneuvers,emphasis on hand hygiene of medical personnel and rational use of antibiotics.