神经内科住院患者医院感染病原菌分布与耐药性

发布时间：2018-05-17 22:19

本文选题：神经内科 + 医院感染　；参考：《中华医院感染学杂志》2016年08期

【摘要】：目的分析神经内科住院患者医院感染病原菌分布及感染的相关因素,为临床防治提供参考依据。方法回顾性分析2013年6月-2015年6月医院神经内科收治的860例患者临床资料,调查患者发生医院感染率、感染部位、感染病原菌及耐药性,数据采用SPSS 12.0软件进行统计分析。结果共调查860例患者,其中发生医院感染107例,感染率12.4%;感染部位分别以呼吸系统、泌尿系统和消化系统感染为主,分别占62.6%、17.7%和10.3%;共检出122株病原菌,以革兰阴性菌为主,共75株占61.5%;铜绿假单胞菌对氨苄西林高度耐药,耐药率为95.5%;金黄色葡萄球菌对左氧氟沙星、红霉素高度耐药,耐药率均为100.0%。结论神经内科住院患者感染较高,应根据感染部位、病原菌种类和危险因素采取针对性措施,有利于预防医院感染,改善患者预后。
[Abstract]:Objective to analyze the distribution of pathogenic bacteria and related factors of nosocomial infection in inpatients with neurology, and to provide reference for clinical prevention and treatment. Methods the clinical data of 860 patients admitted to Department of Neurology from June 2013 to June 2015 were retrospectively analyzed. The nosocomial infection rate, infection site, pathogenic bacteria and drug resistance were investigated. The data were analyzed by SPSS 12.0 software. Results A total of 860 patients were investigated, 107 of them had nosocomial infection and the infection rate was 12.4.The infection sites were mainly respiratory system, urinary system and digestive system infection, accounting for 62.6% and 10.3% respectively. 122 strains of pathogenic bacteria were detected, mainly Gram-negative bacteria. Pseudomonas aeruginosa was highly resistant to ampicillin, and staphylococcus aureus was highly resistant to levofloxacin and erythromycin. Conclusion the inpatients in department of neurology have higher infection, so we should take appropriate measures according to the location of infection, the types of pathogenic bacteria and the risk factors, so as to prevent nosocomial infection and improve the prognosis of the patients.
【作者单位】：温州市中西医结合医院神经内科;
【基金】：浙江省科技局基金资助项目(Y20140302)
【分类号】：R446.5

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