摘要目的 分析综合医院康复科住院患者医院感染情况及防治措施.方法 回顾性分析温州医学院附属第二医院2004年7月1日-2008年6月30日1243例康复科住院患者医院感染发生率、基础疾病及感染部位,并采用Logistic回归分析医院感染的危险因素.结果 康复科患者医院感染发生率为18.34%(228/1234),感染例次率为21.40%(266/1243),尤其多发于脊髓损伤和脑血管疾病患者,分别占41.67%(95/228)和31.14%(71/228),感染部位以泌尿道和下呼吸道多见.医院感染的发生与基础疾病、年龄、住院时间、侵袭性操作、营养状况、低血糖、感觉和运动障碍,以及吞咽困难等有关.结论 康复科住院患者医院感染发生率较高,医护人员在治疗过程中,应针对相关因素加以监控,防止和减少医院感染的发生.

abstractsObjective To investigate the risk factors for nosocomial infections in rehabilitation department of a general hospital. Methods The infection rate, underlying diseases and infection sites were retrospectively reviewed in 1243 patients hospitalized in rehabilitation department of the Second Affiliated Hospital of Wenzhou Medical College from July 1, 2004 to June 30, 2008. Risk factors were determined by multivariate analysis with Logistic regression. Results The infection rate and the frequency of nosocomial infections in rehabilitation department were 18. 34 % (228/1234) and 21. 40 % (266/1243), respectively. Patients with spinal cord injury and those with cerebrovascular diseases accounted for 41.67% (95/228) and 31. 14% (71/228) of the total nosocomial infections, respectively. Urinary tract and lower respiratory tract were the frequent infection sites. The incidence of nosocomial infections was correlated with underlying diseases, age, length of stay, invasive operation, nutrition, sensory or movement disturbance and dysphagia. Conclusions Rehabilitation department has high nosocomial infection rate. Relevant risk factors should be carefully monitored to prevent or reduce the occurrence of the infections.