Nosocomial infection in intensive-care unit department of Neurology: Causes and countermeasures
神经内科重症监护室医院感染原因分析及对策

摘要

目的 对神经内科重症监护室医院感染原因以及对策进行分析。方法 选择我院2021年1月-2021年12月在神经内科重症监护室中接受治疗的30例患者作为研究对象，对这些患者的临床资料进行分析，找出医院感染原因，并在此基础上对减少出现医院感染的对策进行研究。结果 对所有患者分别进行血、尿、粪以及各种侵入性导管的细菌培养。病原菌主要以格兰阳性菌为主，其中以铜绿假单胞菌为常见，神经内科重症监护室患者的医院感染率为36.67%（P<0.05），格兰阳性菌以其中的金黄色葡萄球菌为主，神经内科重症监护室患者的医院感染率为30.00%（P<0.05）；在神经内科重症监护室中接受治疗的30例患者中，有17例接受了两种以上的侵入性治疗，其医院感染几率较高。结论 神经内科重症监护室医院感染原因有很多，强化对患者的临床护理工作能够有效减少医院感染情况的发生。

Abstract

Objective: To analyze the causes and strategies of nosocomial infection in neurology intensive-care unit.
Methods: 30 patients who were treated in the Department of Neurology from January to December in our hospital were selected as the study 2021. The clinical data of these patients were 2021 and analyzed, to find out the causes of hospital infection, and on this basis to reduce the occurrence of hospital infection countermeasures were studied. As a result, all patients were subjected to bacterial cultures of blood, urine, feces, and various invasive catheters. The main pathogens were gram-positive bacteria, and Pseudomonas aeruginosa was the most common pathogen. The nosocomial infection rate of intensive-care unit patients in Department of Neurology was 36.67% (P & LT; 0.05) , the nosocomial infection rate was 30.00% (P & LT; 0.05) in patients with intensive-care unit Staphylococcus aureus in department of neurology and 30 patients with intensive-care unit in Department of Neurology, there were 17 patients who received more than two kinds of invasive treatment, and the rate of nosocomial infection was higher.
Conclusion   there are many causes of nosocomial infection in neurology intensive-care unit, and strengthening clinical nursing can effectively reduce the incidence of nosocomial infection.