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目的探讨神经重症监护病房(NICU)重症脑卒中患者医院感染的特点,分析引起医院感染的危险因素,寻求有效的控制措施。方法对荆州市第二人民医院NICU的617例重症脑卒中患者进行筛选,对其中320例医院感染的特点及危险因素进行分析。结果NICU重症脑卒中医院感染率为51.86%,以呼吸系统及泌尿系统感染多见,分别占感染例次(347)的62.82%和21.90%。医院感染的发生除基础疾病严重外,与环节护理质量、侵入性操作、住院时间、营养状况等有关。结论NICU重症脑卒中患者医院感染发生率高,应充分重视其危险因素,重视抗生素的合理使用,强化环节护理质量控制,从源头和关键环节上有效控制医院感染的发生。
Objective To investigate the characteristics of nosocomial infections in patients with severe stroke in NICU and to analyze the risk factors causing nosocomial infection and to seek effective control measures. Methods A total of 617 cases of severe stroke in NICU of Jingzhou Second People’s Hospital were screened and the characteristics and risk factors of 320 cases of nosocomial infection were analyzed. Results The prevalence of severe hospital-acquired stroke in NICU was 51.86%. Respiratory and urinary tract infections were more common, accounting for 62.82% and 21.90% of cases (347). In addition to the occurrence of nosocomial infections serious underlying disease, and the quality of care, the operation of the intrusion, hospitalization, nutritional status and so on. Conclusion The incidence of nosocomial infections in NICU patients with severe stroke is high, and their risk factors should be fully taken into account. The rational use of antibiotics should be emphasized, the quality control of links should be strengthened, and the occurrence of nosocomial infections should be effectively controlled from the source and key links.