神经康复科患者医院感染调查分析

发布时间：2018-05-05 02:31

本文选题：神经康复科 + 患者　；参考：《中华医院感染学杂志》2014年19期

【摘要】：目的分析神经康复科患者医院感染的流行病学特征,探讨有效预防与控制神经康复患者医院感染的措施。方法采用回顾性调查方法对2012年1-12月在接受神经康复的2 641例患者进行医院感染监测,并对其发生医院感染相关因素进行分析,采用SPSS13.0统计软件对数据进行处理。结果 2 641例神经康复出院患者发生医院感染72例,感染率为2.7%,第一季度医院感染率最高3.0%;感染部位以呼吸道为主占65.3%,其次为泌尿道占29.2%,基础疾病以脑梗死为主占47.2%,其次为脑出血占33.4%;医院感染患者住院时间越长,发生医院感染的危险性越大;接受侵入性操作23例占31.9%,抗菌药物单一使用46例、二联使用21例、三联使用5例,分别占63.9%、29.2%、6.9%,其中经验用药58例占80.5%,给药途径静脉滴注65例占90.3%。结论应针对神经康复患者特点,及时采取有效预防与控制措施,是减少医院感染发生的关键。
[Abstract]:Objective to analyze the epidemiological characteristics of nosocomial infection in neurorehabilitation patients and to explore the effective measures to prevent and control nosocomial infection in neurorehabilitation patients. Methods the nosocomial infection was monitored in 2 641 patients who received neurorehabilitation from January to December 2012, and the related factors of nosocomial infection were analyzed. The data were processed by SPSS13.0 software. Results 72 cases of nosocomial infection occurred in 2 641 patients who were discharged from hospital after neurorehabilitation. The infection rate was 2.7%, the nosocomial infection rate was 3.0% in the first quarter, the respiratory tract accounted for 65.3%, the urinary tract 29.2%, the cerebral infarction 47.2%, the cerebral hemorrhage 33.42.The hospitalization time of nosocomial infection patients was longer. The higher the risk of nosocomial infection, the greater the risk of nosocomial infection, including 23 cases of invasive operation, 46 cases of single use of antimicrobial agents, 21 cases of combined use of antimicrobial agents, 5 cases of triple use, accounting for 63.9% of 29.2% and 6.9%, respectively, of which 58 cases were treated with experiential drugs, and 65 cases were treated by intravenous drip, accounting for 90.3%. Conclusion it is the key to reduce nosocomial infection that effective prevention and control measures should be taken according to the characteristics of neurorehabilitation patients.
【作者单位】：无锡市精神卫生中心;无锡同仁国际康复医院医院感染管理科;
【基金】：无锡市科技发展计划基金项目(CSE01018)
【分类号】：R181.32

【参考文献】