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目的调查急性脑血管疾病患者发生医院感染危险因素,探讨手卫生在控制医院感染中的作用,为降低医院感染的发生提供依据。方法回顾性分析2011年1月-2013年12月1 146例急性脑血管疾病患者临床资料,调查分析急性脑血管病患者发生医院感染的危险因素,采用SPSS 11.0软件进行统计分析。结果发生感染64例患者,感染率5.58%;共分离出85株病原菌其中以革兰阴性菌为主,共49株占57.65%;对医院感染的患者进行分析,发现患者的年龄、住院时间、GCS评分、不注重强化手卫生、侵入性操作等是发生医院感染的主要危险因素(P<0.05)。结论急性脑血管病患者发生医院感染的危险因素较多,强化手卫生对控制急性脑血管病患者医院感染切实有效,临床医师及护理人员应严格控制手部的卫生,降低医院感染的发生。
Objective To investigate the risk factors of nosocomial infection in patients with acute cerebrovascular diseases and to explore the role of hand hygiene in the control of nosocomial infections so as to provide basis for reducing the occurrence of nosocomial infections. Methods The clinical data of 1 146 cases of acute cerebrovascular disease from January 2011 to December 2013 were retrospectively analyzed. The risk factors of nosocomial infection in patients with acute cerebrovascular disease were investigated and analyzed. The data were analyzed by SPSS 11.0 software. Results Infection occurred in 64 patients with an infection rate of 5.58%. A total of 85 strains of pathogens were isolated, of which Gram-negative bacteria were the major ones, accounting for 57.65%. A total of 49 strains of hospital-acquired infections were analyzed. The patient’s age, hospital stay, GCS score, not focusing on strengthening hand hygiene, invasive procedures are the main risk factors for nosocomial infection (P <0.05). Conclusion There are many risk factors for nosocomial infection in patients with acute cerebrovascular disease. Intensive hand hygiene is effective and effective in controlling nosocomial infections in patients with acute cerebrovascular disease. Clinicians and nurses should strictly control their hand hygiene and reduce the incidence of nosocomial infections.