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目的:观察探讨神经外科医院感染的病原体分布、流行病学特点、感染发病率及耐药情况,制定有效的控制医院感染的对策。方法:选取神经外科收治的1868例患者,其中,发生医院感染者64例,对其临床资料进行回顾性分析。结果:神经外科医院感染的发病率为3.43%,呈逐渐递减的趋势,2年发病率对比存在显著差异(P<0.05),具有统计学意义。结论:加强神经外科医院感染的管理,指导并合理应用抗生素,严格执行无菌操作,加强基础及专科护理,对减少医院感染有非常重要的临床意义。
Objective: To observe and discuss the distribution of pathogens in neurosurgical nosocomial infections, epidemiological characteristics, incidence of infection and drug resistance, and to develop effective measures to control nosocomial infections. Methods: A total of 1868 patients admitted to Department of Neurosurgery were enrolled. Among them, 64 patients were hospitalized and their clinical data were retrospectively analyzed. Results: The incidence of neurosurgical nosocomial infection was 3.43%, showing a gradual decreasing trend. There was a significant difference in 2-year incidence (P <0.05), with statistical significance. CONCLUSIONS: Strengthening the management of neurosurgical nosocomial infections, guiding and rationalizing the use of antibiotics, strictly implementing aseptic procedures, and strengthening basic and specialist nursing are of great clinical significance in reducing nosocomial infections.