目的：探讨神经内科住院患者医院感染的危险因素，及时的采取治疗措施，控制感染的发生。方法回顾分析2010年1月-2011年1月神经内科收治的300例住院患者感染的情况，并对治疗效果进行探讨。结果200例神经内科住院患者，发生医院感染的18例，感染发生率为6%。其中，脑梗死患者医院感染率最高为10例，脑出血3例，蛛网膜下腔出血2例，其他3例。感染部位中，以肺部的感染9例，泌尿系的感染4例，消化系统3例，其他2例。结论神经内科住院患者感染的主要危险因素为年龄、住院时间、其他内科性疾病、外科的侵入性操作等。治疗措施主要是进行药敏试验后的合理使用抗生素、及时的控制伴发性的内科疾病、注意无菌操作、加强医院的管理。%Objective To study risk factors of neurology hospital patients with hospital infection, and take treatment measures to control infection timely. Methods 300 cases of hospitalized patients admitted in neurology department of infection were systematic retrospective analysed from January 2010 to January 2011, and discussed the treatment effect. Results 200 patients in neurology hospital,, 18 cases had hospital infection, the incidence of infection was 6%. Among them,, the rate of cerebral infarction patients with hospital infection was highest,and it had 10 cases,cerebral hemorrhage had 3 cases, subarachnoid hemorrhage had 2 cases,others had 3 cases. The main infection was the lung infection,and it had 9 cases, urinary tract infection had 4 cases,digestive apparatus had 3 cases, others had 2 cases. Conclusion Neurology hospital infection of patients with major risk factors was the age, length of hospital stay and other invasive medical disease, surgical operation, etc. Treatment is mainly to make drug sensitive test and choose the rational antibiotics, control of internal diseases timely, pay attention to aseptic operation, and strengthen the management of hospital.
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