脑梗死患者医院感染特点分析    FREE
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许西娟

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R743.3

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Characteristics of nosocomial infections in patients with cerebral infarction     FREE
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    摘要:

    目的探讨脑梗死患者发生医院感染的特点及相关危险因素,寻求有效控制方法。方法对某院2003年1月—2008年12月收治的1 192例脑梗死患者资料进行回顾性调查分析。结果1 192例脑梗死患者发生医院感染 225 例,238 例次,医院感染率18.88%,感染例次率19.97%,较平均医院感染率4.3%明显增高(χ2=550.11,P<0.01)。感染部位主要为呼吸道(58.82%)、泌尿道(15.55%)、胃肠道(10.93%)、皮肤软组织(10.08%)等。高龄、住院时间长、意识障碍、伴有并发症及侵入性操作均与医院感染的发生有关。发生医院感染脑梗死患者的病死率及致残率明显增高(P<0.01)。结论脑梗死是医院感染的高发病种,且发生医院感染后影响预后;在积极治疗原发病和并发症的基础上,应控制相关危险因素,以有效减少医院感染的发生。

    Abstract:

    ObjectiveTo evaluate characteristics and related risk factors of nosocomial infection (NI) in patients with cerebral infarction (CI), so as to find effective control measures. MethodsData of 1 192 hospitalized patients with CI between  January, 2003 and  December, 2008  were analyzed retrospectively.ResultsAmong 1 192 patients, 225 developed 238 cases of NI, NI rate was 18.88%, NI cases rate was 19.97%, which  was significantly increased compared with 4.3% of  average NI rate (χ2=550.11, P<0.01). The main infection sites were respiratory tract (58.92%), urinary tract (15.55%),  gastrointestinal tract (10.93%), and skin and soft tissue(10.08%). The related factors for NI were the elderly, long length of hospitalization time, disturbance of consciousness, complications, and invasive operation. The mortality and disability occurred in patients with CI increased significantly (P<0.01). ConclusionCerebral infarction has a high incidence of NI, and the prognosis after developing NI is poor;  in order to reduce the occurrence of NI,  relevant risk factors should be controlled on the basis of active treatment for primary diseases and complications .

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许西娟,刘培玲.脑梗死患者医院感染特点分析    FREE[J]. 中国感染控制杂志,2010,9(2):118-120.
XU Xijuan, LIU Peiling. Characteristics of nosocomial infections in patients with cerebral infarction     FREE[J]. Chin J Infect Control, 2010,9(2):118-120.

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  • 收稿日期:2009-05-21
  • 最后修改日期:2009-07-02
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  • 在线发布日期: 2010-03-30
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