摘要
目的探讨血液病患者发生医院感染相关因素和预防控制措施。方法对医院2005年1月-2007年12月血液病住院患者进行回顾性调查分析。结果128例患者发生医院感染,感染率为8.63%,感染病例以急性白血病最多,感染部位主要是呼吸道,其次是口腔、肛周;白细胞减少、化疗及使用免疫抑制剂、高龄、住院时间长是增加感染的相关因素;医院感染的病原菌主要以革兰阴性杆菌和真菌为主。结论血液科医院感染发病率高,应加强抗菌药物的合理使用,加强血液病患者医院感染危险因素的监测及控制,降低医院感染率。
OBJECTIVE To discuss the nosocomial infection risk factor in hematopathy patients and the control measure. METHODS The hematopathy inpatients from Jan 2005 to Dec 2007 were analyzed retrospectively. RESULTS Totally 128 patients had the nosocomial infection, the infection rate was 8.63%. The most common infection sites were respiratory tract, oral cavity, and perianum. The leukopenia, chemotherapy immunodepressant usage, advanced age, and hospitalization duration were the risk factors; the main pathogens of nosocomial infection were G^- bacilli and fungi. CONCLUSIONS The nosocomial infection in department of hematology is high. It should be strengthened in antibiotics reasonable usage, and monitoring the risk factors to decrease hospital infection rate.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2009年第6期642-643,649,共3页
Chinese Journal of Nosocomiology
关键词
血液病
医院感染
预防控制
Hematophathy
Nosocomial infection
Prevention and control
