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目的探讨神经外科住院患者医院感染临床特征及对策。方法采用前瞻性调查的方法对神经外科2005年1月至2007年12月1315例住院患者的临床资料进行调查分析。结果神经外科医院感染发生率7.15%,例次医院感染率为7.76%,医院感染部位以下呼吸道、泌尿道、手术切口为主,细菌学检查共检出医院感染病原菌110株,居前4位的细菌分别是大肠埃希菌、阴沟肠杆菌、肺炎克雷伯菌、铜绿假单胞菌。表现为较高的多重耐药。结论神经外科患者医院感染危险因素多,耐药情况突出,加强病原菌耐药监测,合理使用抗菌药物,严格执行无菌操作规程,积极治疗原发病,可减少医院感染发生。
Objective To investigate the clinical characteristics of hospital infection in neurosurgical inpatients and its countermeasures. Methods A prospective investigation was conducted to investigate the clinical data of 1315 inpatients from January 2005 to December 2007 in neurosurgical department. Results The incidence rate of neurosurgical nosocomial infection was 7.15%. The nosocomial infection rate was 7.76%. The main respiratory tract, urinary tract and surgical incision were below the nosocomial infection site. 110 bacterial pathogens were found in the bacteriological examination, among which the top 4 Bacteria are Escherichia coli, Enterobacter cloacae, Klebsiella pneumoniae, Pseudomonas aeruginosa. The performance of higher multi-drug resistance. Conclusion There are many risk factors of nosocomial infection in patients with neurosurgery, with prominent drug resistance. To strengthen the monitoring of drug resistance of pathogens, rational use of antimicrobial agents, strictly enforce aseptic procedures, and actively treat the primary disease can reduce the occurrence of nosocomial infections.