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目的了解县级中医院脑病医院感染情况,提出预防控制对策。方法采用回顾性调查方法,对该医院986例脑病患者医院感染资料进行了调查。结果该医院2004～2007年共有986例脑病住院患者,共发生医院感染46例,72例次,医院感染发病率4.67%,例次发病率7.30%。在各种脑病患者中,以脑外伤、脑出血蛛网膜下腔出血患者医院感染发病率较高,依次为16.88%、13.04%和12.50%。感染部位以呼吸道感染为主,其次是泌尿道感染。感染诱发因素主要是气管切开、反复吸痰以及泌尿道插管等侵入性操作。结论县级中医院脑病医院感染发病率较高,侵入性操作是主要诱发因素。
Objective To understand the infection of encephalopathy hospital in county TCM hospital and put forward prevention and control measures. Methods A retrospective survey method was used to investigate the hospital infection data of 986 patients with encephalopathy in the hospital. Results A total of 986 hospitalized patients with encephalopathy were found in the hospital from 2004 to 2007. There were 46 cases of nosocomial infection in 72 cases, the incidence of nosocomial infection was 4.67%, and the incidence rate was 7.30%. Among various encephalopathy patients, the incidence of nosocomial infections was higher in patients with traumatic brain injury and cerebral hemorrhage subarachnoid hemorrhage, which were 16.88%, 13.04% and 12.50%, respectively. Infections were mainly respiratory tract infections, followed by urinary tract infections. Infection-induced factors are mainly tracheostomy, repeated suction and urinary tract intubation and other invasive operations. Conclusion The incidence of encephalitis hospital infection in county TCM hospitals is high, and invasive operation is the main predisposing factor.