本文選題：神經(jīng)康復(fù)科 + 患者�。� 參考：《中華醫(yī)院感染學(xué)雜志》2014年19期

【摘要】：目的分析神經(jīng)康復(fù)科患者醫(yī)院感染的流行病學(xué)特征,探討有效預(yù)防與控制神經(jīng)康復(fù)患者醫(yī)院感染的措施。方法采用回顧性調(diào)查方法對(duì)2012年1-12月在接受神經(jīng)康復(fù)的2 641例患者進(jìn)行醫(yī)院感染監(jiān)測(cè),并對(duì)其發(fā)生醫(yī)院感染相關(guān)因素進(jìn)行分析,采用SPSS13.0統(tǒng)計(jì)軟件對(duì)數(shù)據(jù)進(jìn)行處理。結(jié)果 2 641例神經(jīng)康復(fù)出院患者發(fā)生醫(yī)院感染72例,感染率為2.7%,第一季度醫(yī)院感染率最高3.0%;感染部位以呼吸道為主占65.3%,其次為泌尿道占29.2%,基礎(chǔ)疾病以腦梗死為主占47.2%,其次為腦出血占33.4%;醫(yī)院感染患者住院時(shí)間越長(zhǎng),發(fā)生醫(yī)院感染的危險(xiǎn)性越大;接受侵入性操作23例占31.9%,抗菌藥物單一使用46例、二聯(lián)使用21例、三聯(lián)使用5例,分別占63.9%、29.2%、6.9%,其中經(jīng)驗(yàn)用藥58例占80.5%,給藥途徑靜脈滴注65例占90.3%。結(jié)論應(yīng)針對(duì)神經(jīng)康復(fù)患者特點(diǎn),及時(shí)采取有效預(yù)防與控制措施,是減少醫(yī)院感染發(fā)生的關(guān)鍵。
[Abstract]:Objective to analyze the epidemiological characteristics of nosocomial infection in neurorehabilitation patients and to explore the effective measures to prevent and control nosocomial infection in neurorehabilitation patients. Methods the nosocomial infection was monitored in 2 641 patients who received neurorehabilitation from January to December 2012, and the related factors of nosocomial infection were analyzed. The data were processed by SPSS13.0 software. Results 72 cases of nosocomial infection occurred in 2 641 patients who were discharged from hospital after neurorehabilitation. The infection rate was 2.7%, the nosocomial infection rate was 3.0% in the first quarter, the respiratory tract accounted for 65.3%, the urinary tract 29.2%, the cerebral infarction 47.2%, the cerebral hemorrhage 33.42.The hospitalization time of nosocomial infection patients was longer. The higher the risk of nosocomial infection, the greater the risk of nosocomial infection, including 23 cases of invasive operation, 46 cases of single use of antimicrobial agents, 21 cases of combined use of antimicrobial agents, 5 cases of triple use, accounting for 63.9% of 29.2% and 6.9%, respectively, of which 58 cases were treated with experiential drugs, and 65 cases were treated by intravenous drip, accounting for 90.3%. Conclusion it is the key to reduce nosocomial infection that effective prevention and control measures should be taken according to the characteristics of neurorehabilitation patients.
【作者單位】： 無(wú)錫市精神衛(wèi)生中心;無(wú)錫同仁國(guó)際康復(fù)醫(yī)院醫(yī)院感染管理科;
【基金】：無(wú)錫市科技發(fā)展計(jì)劃基金項(xiàng)目(CSE01018)
【分類號(hào)】：R181.32

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