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神经外科医院感染部位及相关因素的临床分析 被引量:56

Nosocomial Infection in Neurosurgery and the Correlative Factors: A Clinical Analysis
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摘要 目的 探讨神经外科医院感染的易感部位、相关因素及防治措施。方法 回顾性调查 12 5例神经外科住院患者的有关临床资料。结果 神经外科医院感染的易感部位依次为下呼吸道、泌尿道、中枢神经系统 ;感染因素与患者的原发病、并发症、各种功能障碍如咳嗽反射障碍、排尿障碍等有关 ;细菌学检查共检出医院感染病原菌14 0株 ,为铜绿假单胞菌、大肠埃希菌、金黄色葡萄球菌位居前 3位。结论 针对各种相关因素采取相应预防措施 ,可减少神经外科医院感染 ,同时预防性应用抗生素 ,依据药敏实验调整用药 ,可获得满意疗效。 OBJECTIVE To investigate nosocomial infection in neurosurgery department. METHODS Correlative clinical data of 125 inpatients in neurosurgery department were retrospectively investigated. RESULTS The susceptible sites for neurosurgical nosocomial infection were lower respiratory tract, urinary tract and central nervous system in order, there were many factors related with their occurrence such as inpatient′s primary lesion, complications and miscalleneous dysfunctions such as disturbance of consciousness, dysuria, disability in cough reflex. A total of 140 pathogens were found in bacteriological detection, the Pseudomonas, Escherichia coli and Staphylococcus were the most common pathogens in order. CONCLUSIONS Neurosurgic nosocomial infections rate could be decreased after taking prevention measures according to various correlative factors, prophylactic treating with antibiotics and getting a satisfactory effect by using antibiotics according to drug susceptibility test.
出处 《中华医院感染学杂志》 CAS CSCD 2003年第7期640-642,共3页 Chinese Journal of Nosocomiology
关键词 神经外科 医院感染 相关因紊 Neurosurgery Nosocomial infection Correlative factors
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