摘要
目的通过临床医学实验研究的方式,分析神经内科患者的医院感染病原菌分布特征、耐药性以及涉及的主要危险因素.方法在天津市第四中心医院2021年1月-2022年10月之间收治的神经内科患者中随机选取1100例接受住院治疗的患者,其中有50例患者出现了医院感染情况,医院感染率为4.55%(50/1100).对50例患者样本进行化验分析,包括进行病原菌的培养、菌株鉴定以及病原菌的药敏实验.结果50例神经内科医院感染患者中,呼吸道感染25例(50.00%),消化系统感染5例(10.00%),泌尿系统感染15例(30.00%),血液系统感染5例(10.00%).50例医院感染患者的病原菌涉及革兰氏阴性菌、革兰氏阳性菌、真菌三种病原菌.通过实验室检验分析后发现,神经内科患者出现医院感染的情况与患者的年龄、住院时间、意识水平、合并症、侵入性操作等因素存在密切联系,数据分析差异具有统计学意义(P<0.05).结论神经内科患者住院有可能发生医院感染情况,而且这些病原菌对于很多抗生素类药物存在较为明显的耐药性问题.
Objective To analyze the distribution characteristics,drug resistance and the main risk factors of nosocomial infection in patients with neurology through clinical experimental research.Methods From January 2021 to October 2022,1100 patients in the Department of Neurology were randomly selected to receive hospitalization.Among them,50 patients developed nosocomial infection,and the nosocomial infection rate was 4.55%(50/1100).The samples of 50 patients were analyzed,and the culture of pathogenic bacteria,strain identification and drug susceptibility test of pathogenic bacteria were carried out.Results Among the 50 patients with nosocomial infection in the department of neurology,25 cases(50.00%)of respiratory tract infection,5 cases(10.00%)of digestive system infection,15 cases(30.00%)of urinary system infection and 5 cases(10.00%)of blood system infection.The pathogenic bacteria in 50 patients with nosocomial infection involved gram-negative bacteria,gram-positive bacteria and fungi.Through laboratory analysis,it was found that nosocomial infection in neurology patients was closely related to the patient's age,length of stay,level of consciousness,comorbidities,invasive procedures and other factors,and the difference in data analysis was statistically significant(P<0.05).Conclusion Hospital infection is likely to occur in neurology patients,and these pathogens have obvious resistance to many antibiotics.
作者
邢凤茹
Xing Fengru(Tianjin Fourth Central Hospital,Tianjin 300140,China)
出处
《首都食品与医药》
2023年第21期96-99,共4页
Capital Food Medicine
关键词
神经内科
医院感染
病原菌
分布特征
耐药性及危险因素
Department of Neurology
Hospital infection
Pathogenic bacteria
Distribution characteristics
Drug resistance and risk factors
