中国医学创新2025，Vol.22Issue(27)：165-169,5.DOI:10.3969/j.issn.1674-4985.2025.27.039
脑梗死患者医院感染分布特征及危险因素分析
Analysis of the Distribution Characteristics and Risk Factors of Nosocomial Infections in Patients with Cerebral Infarction
摘要
Abstract
Objective:To explore of the distribution characteristics and risk factors of nosocomial infections in patients with cerebral infarction.Method:Patients with cerebral infarction admitted to the Neurology Department of the 2nd Affiliated Hospital of Fujian Medical University from January 1,2023 to June 30,2024 were selected as the study subjects.Clinical data were collected,and a retrospective analysis was conducted to examine the sites of nosocomial infections and distribution characteristics of pathogens.Univariate and multivariate logistic regression analyses were used to analyse the risk factors for nosocomial infections in patients with cerebral infarction.Result:Among the 2,320 patients,89 cases of nosocomial infection were identified,yielding an infection rate of 3.84%.The primary infection site was the lower respiratory tract(70.79%),and the primary detected pathogen was Gram-negative bacteria(81.08%).The results of multivariate analysis indicated that age,limb movement disorders,invasive procedures,tracheotomy,length of hospital stay,and combination use of antibiotics were independent risk factors for nosocomial infections in patients with cerebral infarction(P<0.05).Conclusion:Among patients with cerebral infarction,those aged≥60 years are susceptible population to nosocomial infections,with lower respiratory tract infections being the most common site and Gram-negative bacteria being the predominant pathogens.Clinical practices should develop corresponding prevention and control measures based on the risk factors for nosocomial infections in patients with cerebral infarction to reduce the incidence of such infections.关键词
脑梗死/医院感染/危险因素/下呼吸道感染Key words
Cerebral infarction/Nosocomial infections/Risk factors/Lower respiratory tract infection引用本文复制引用
翁月萍,张华平,陈夏容,吴逸海,邱秀兰,张贻浓,林丽玲..脑梗死患者医院感染分布特征及危险因素分析[J].中国医学创新,2025,22(27):165-169,5.基金项目
福建省泉州市2024年科技计划项目基金(2024NY035) （2024NY035）
