某医院神经内科医院感染目标性监测结果分析

摘要

目的:探讨感染目标性监测及干预在神经内科医院感染预防中的效果,为预防及降低医院感染提供参考.方法:对2016年1月至2017年1月入住平泉县医院神经内科的1561例住院患者进行目标性监测,观察神经内科医院感染发生情况.结果:入住神经内科的1561例患者中,其中82例发生医院感染,例次医院感染率为5.25％,其中呼吸系统感染率构成比最高为75.61％,其次为泌尿系统感染、腹部消化系统感染、皮肤软组织感染,其感染率构成比分别为14.63％、6.10％、3.66％.患者年龄≥65岁、合并基础疾病、不合理应用抗生素、住院时间≥14d、存在侵入性操作等因素与医院感染发生相关,且差异存在统计学差异,P<0.05.结论:神经内科以呼吸系统感染为主,为有效降低医院感染发生率,应重点关注:年龄≥65岁、合并基础疾病、不合理应用抗生素、住院时间≥14d且存在侵入性操作的住院患者,以有效降低医院感染发生率.%Objective:To investigate the effect of infection target monitoring and intervention in the pre-vention of nosocomial infection in neurology department, and to provide reference for preventing and reducing nosocomial infection. Methods:A total of 1561 hospitalized patients admitted to the Department of Neurology in Pingquan County Hospital from January 2016 to January 2017 were enrolled in this study. The incidence of nosocomial infection was observed. Results: Among the 1561 patients admitted to neurology, 82 cases had nosocomial infection. The rate of hospital infection was 5.25％. The infection rate of respiratory infection was 75.61％, followed by urinary tract infection, abdominal digestive system infection, skin Soft tissue infection, the infection rate composition ratio were 14.63％, 6.10％, 3.66％. Patients with age ≥65 years, with basic diseases, irrational use of antibiotics, hospital stay ≥ 14 days, the existence of invasive operation and other factors associated with the occurrence of nosocomial infection, and the difference was statistically significant, P <0.05. Conclusion:In order to effectively reduce the incidence of nosocomial infection, we should focus on:hospitalized patients with age≥65 years of age, combined with underlying diseases, irrational use of antibiot-ics, hospital stay ≥14 days and invasive operation, To effectively reduce the incidence of nosocomial infec-tion.