摘要
目的 探明脑出血患者并发医院感染危险因素 ,以及采取有效控制措施。方法 对我院 1997年 1月～1999年 6月住院治疗的 837例脑出血患者进行医院感染及其危险因素的回顾性分析。结果 脑出血并发医院感染 2 16例 ,医院感染发生率为 2 5 .8% ,其中以下呼吸道最多见 ,占 39.1% ,其次为泌尿道 ,占 2 7.8%。老年、脑出血部位和出血量、意识障碍、吸烟史、血糖、侵袭性操作、预防性抗生素应用、住院日等 9项是医院感染发生的危险因素。结论 脑出血医院感染发生率高 ,应引起重视 。
OBJECTIVE In order to explore and control the risk factors of nosocomial infection in intracerebral hemorrhage.METHODS To study prospectively in 837 hospitalized patients with intracerebral hemorrhage in our hospital from Jan.1997 to June 1999. RESULTS It was showed 215 cases of the nosocomial infection were found among 837 cases with the intracerebral hemorrhage(25.8%).Among them,nosocomial lower respiratory tract infection was the highest(39.1%),the second one was the urinary tract(27.8%).Nosocomial infection was closely related with such factors as the aging,location and volume of intracerebral hematoma,disturbance of consciousness, smoking,blood sugar,invasive operation,antibiotic prophylaxis,bed days.Whereas serum cholesterol was a protective factor.CONCLUSIONS Nosocomial infection was still a high frequent complication in intracerebral hemorrhage and it should be paid attention.This is the most important step to control nosocomial infection of intracerebral hemorrhage in the hospital.
出处
《中华医院感染学杂志》
CAS
CSCD
2001年第1期4-6,共3页
Chinese Journal of Nosocomiology
关键词
脑出血
医院内感染
危险因素
Intracerebral hemorrhage
Nosocomial infection
Risk factor
