天津医药 ›› 2017, Vol. 45 ›› Issue (8): 795-798.doi: 10.11958/20170689

• 专题 颅脑神经创伤 • 上一篇    下一篇

神经重症监护病房医院感染的防控策略

涂悦△, 杨小飒   

  1. 天津, 武警后勤学院附属医院脑科医院脑科中心, 武警部队脑创伤与神经疾病研究所, 天津市神经创伤修复重点实验室 (邮编 300162)
  • 收稿日期:2017-06-13 修回日期:2017-07-28 出版日期:2017-08-15 发布日期:2017-08-15
  • 通讯作者: △通讯作者 E-mail: ytumail@vip.126.com E-mail:ytumail@vip.126.com
  • 作者简介:涂悦 (1974), 女, 博士, 主任医师, 主要从事神经重症的基础和临床研究

Prevention and control strategy of hospital-acquired infection in neurosurgical intensive critical unit

TU Yue△, YANG Xiao-sa   

  1. Center for Neurology and Neurosurgery of Affiliated Hospital of the Logistics University of Chinese People’ s Armed Police Forces (PAP), Institute of Traumatic Brain Injury and Neuroscience, Tianjin Key Laboratory of Neurotrauma Repair, Tianjin 300162, China
  • Received:2017-06-13 Revised:2017-07-28 Published:2017-08-15 Online:2017-08-15
  • Contact: △Corresponding Author E-mail: ytumail@vip.126.com E-mail:ytumail@vip.126.com

摘要: 医院感染 (HAI) 是住院患者常见的并发症之一, 可导致患者病情加重, 住院时间延长, 医疗费用显著增加, 已成为全球范围内公众健康的严重威胁。神经重症监护病房 (NICU) 患者由于病情危重、 接受侵入性操作较多等原 因, 更易发生医院获得性肺炎(HAP)、 手术部位感染(SSI)等, 使患者病死率明显增加。因此, HAI 的预防和治疗是 NICU 中疾病治疗的重要挑战。本文总结了 NICU 中 HAI 的常见类型、 病原学特点、 预防措施和抗菌治疗特点, 旨在 为 NICU 医务人员治疗 HAI 提供思路和参考。

关键词: 交叉感染, 医院获得性肺炎, 手术部位感染, 医院获得性中枢神经系统感染, 导管相关性尿路感染, 导管 相关性血液感染

Abstract: Hospital acquired infection (HAI) is one of the common complications of hospitalized patients and poses a serious threat to public health worldwide, which causes an exacerbation, prolonged hospitalization and increased medical costs. Because of higher illness severity and more invasive operations, patients in neurosurgical intensive critical unit (NICU) are more susceptible to HAI such as hospital acquired pneumonia (HAP) and surgical site infection (SSI), leading to the increase of mortality. Therefore, the prevention and treatment of HAI is an important challenge during the treatment of diseases in NICU. In this paper, we summarized the common types, pathogenic characteristics, prevention measures and antimicrobial treatment of HAI in NICU, aiming to provide ideas and reference on HAI treatment for medical personnel in NICU.

Key words: cross infection, hospital acquired pneumonia, surgical site infection, hospital acquired central nervous system infection, catheter related urinary tract infection, catheter related blood stream infection