神经外科ICU医院感染调查与分析.docVIP

精品论文 参考文献 神经外科ICU医院感染调查与分析 [摘 要]目的：了解神经外科ICU医院感染的发生情况，采取相应针对性的措施，避免医院感染的发生。 方法：收集2010年1月-2014年8月入住神外ICU发生医院感染的病例，对患者的基本情况、发生感染的部位，感染的菌株进行分类统计汇总 结果：神外ICU共收治1472位患者，9254个住院日，发生医院感染85例，99例次，医院感染发生率为6.7%，患者日感染发病率为10.7permil;，远高于同期其他科室的医院感染发病率（Plt;0.05）。血流感染5例，占5.1%，泌尿系感染20例，占20.2%，下呼吸道感染74例，占74.7%。对2012年和2013年感染部位进行统计学分析，无显著性差异（P=0.18，chi;2=3.46）。在99例次的医院感染中，95例（96.0%）有相应的病原学检测结果，其中真菌10例，革兰阳性菌19例，革兰阴性菌66例。检出的革兰阴性菌中鲍曼不动杆菌32例，克雷伯菌19例，大肠埃希菌8例，铜绿假单胞菌3例，其他4例。 结论：神经外科ICU为医院感染的高发区，其中下呼吸道感染是神经外科ICU中最常见的感染部位，鲍曼不动杆菌是最常见的病原菌。 [关键词]神经外科ICU 医院感染 下呼吸道感染 鲍曼不动杆菌 DOI:10.3760/cma.j.issn.0376-2491.2016.04.010 作者单位：473000，河南南阳，河南省南阳市第二人民医院感染管理办公室 A Study on the Nosocomial Infection in Neurosurgery Intensive Care Unit Fan Juan, Niu Fenghe, Wang Xuan, Wang Yingying Abstract：Objective To investigate the causes and types of nosocomial infection in neurosurgery intensive care unit (ICU) and to make appropriate measures to prevent nosocomial infection. Methods Statistical analysis was conducted based on data about the nosocomial infection in neurosurgery ICU from January 2012 to August 2014. Results Among 1472 patients admitted over the period, there were 85 cases of nosocomial infection and nosocomial infection occurred 99 case-times with a infection rate of 6.7% and daily infection incidence of 10.7 per thousand in the past 32 months, which was far higher than other departments (Plt;0.05). Lower respiratory tract infections (LRTI) accounted for the most of the infections (74, 74.7%), followed by urinary tract infections (UTI, 20, 20.2%) and bloodstream (BSI, 5, 5.1%). There was no significant change in LRTI, UTI and BSI during the 2012 and 2013 (P=0.18, chi;2=3.46). Gram negative bacteria were the major pathogens. Among the 99 case-times infection, 95 cases had corresponding pathogenic detection results, and 10 of which were epiphyte infection, 19 were gram positive bacteria infections, 66 were gram negative bacteria infections. Among the 66 cases of gram negative bacteria infections