论文部分内容阅读
目的:通过对神经外科重症监护病房患者发生医院感染的危险因素进行调查分析,为制定合理可行的预防措施提供科学依据。方法:回顾性分析2012年1月~2014年1月收住神经外科重症监护病房的100例患者的临床资料,分析住院期间医院感染的发生率及危险因素。结果:100例患者中发生院感20例,感染发生率为20%;所检出的病原菌中,革兰阴性杆菌占45%,革兰阳性球菌占40%;发生感染的主要部位为下呼吸道感染,占81%,其次为脑脊液感染,占13%。患者意识障碍、侵入性操作、采用机械通气等是院感发生的高危因素。结论:通过对导致神经外科ICU患者发生院感的危险因素进行分析,加强ICU环境管理,加强侵入性操作的管理,严格执行消毒隔离制度等综合干预,可以有效预防和控制医院感染的发生。
OBJECTIVE: To investigate and analyze the risk factors of nosocomial infections in neurosurgical intensive care unit in order to provide a scientific basis for making reasonable and feasible preventive measures. Methods: The clinical data of 100 patients admitted to the neurosurgical intensive care unit between January 2012 and January 2014 were retrospectively analyzed. The incidence and risk factors of nosocomial infections during hospitalization were analyzed. Results: There were 20 cases of nosocomial infection in 100 patients, the infection rate was 20%. Among the detected pathogens, Gram-negative bacilli accounted for 45% and Gram-positive cocci accounted for 40%. The main sites of infection were lower respiratory tract Infection, accounting for 81%, followed by cerebrospinal fluid infection, accounting for 13%. Patients with disturbance of consciousness, invasive operation, the use of mechanical ventilation and other nosocomial risk factors. CONCLUSIONS: The prevention and control of nosocomial infections can be effectively prevented by analyzing the risk factors of nosocomial induction in neurosurgical ICU patients, strengthening ICU environmental management, strengthening the management of invasive operations, and strictly implementing the disinfection and isolation system.