摘要
Abstract
Objective To investigate the occurrence and clinical characteristics of nosocomial infection in stroke patients, and analyze its risk factors. Method 360 cases of stroke patients were selected in our hospital from January 2015 to December 2015, and the incidence rate and related risk factors of nosocomial infection were observed. Result A total of 55 cases had nosocomial infection among the 360 cases, and the infection rate was 15.28%;the infection samples were mainly derived from sputum and most infection tooken place in lower respiratory tract. A total of 55 cases of nosocomial infection were deteced, included 30 strains of gram-positive coccus (54.55%), 16 strains of gram-negative coccus (29.09%), 9 strains of fungi (16.36%). Related factors analysis showed that age, season, the degree of conscious disturbance, hospital stay, invasive operation, the level of blood glucose, respiratory system disease, hypercholesterolemia, hypoalbuminemia, prophylactic antibiotics, glucocorticoid application were the factors of nosocomial infection in stroke patients (P<0.05). Logistic regression analysis showed that sick season (OR=5.191), disturbance of consciousness (OR=3.515), invasive operation (OR=7.478), blood glucose (OR=16.643), the prophylactic antibiotics (OR=4.836) were risk factors of nosocomial infection in stroke patients (P<0.05). Conclusion There is high incidence of nosocomial infection in stroke patients, and the related factors of nosocomial infection are complex. Full attention should be paid to related risk factors, and comprehensive prevention, control measures should be adopted to reduce nosocomial infection in stroke patients.关键词
脑卒中/院内感染/危险因素Key words
Stroke/Nosocomial infection/Risk factors
