摘要
目的为了解住院老年患者医院感染发生的情况及其相关危险因素,探讨相应措施。方法采用回顾性调查方法,对2008年1月-2009年12月收治的≥60岁的老年患者986例进行调查分析。结果 986例住院老年患者中,发生医院感染117例,感染率为11.87%,感染部位以呼吸道为主,占65.81%,其次为泌尿道(14.53%)、胃肠道(11.11%);感染的病原菌以革兰阴性菌为主,占54.62%,革兰阳性菌为29.41%,真菌感染有上升趋势为15.92%;医院感染危险因素与年龄、性别、住院时间、基础疾病、抗菌药物的应用及侵入性操作有关。结论老年住院患者易发生医院感染,应重视治疗基础疾病,减少危险因素;临床上应加强营养、适度运动、合理应用抗菌药物,避免侵入性操作,减少住院时间,以提高机体免疫力,以减少医院感染的发生。
OBJECTIVE To evaluate the incidence of hospital-acquired infection,its risk factors and the distribution of the pathogenic bacteria in senile patients and explore the curing measures.METHODS The clinical data of 986 senile inpatients above 60 years old in two years were retrospectively investigated.RESULTS Among them there were 117 infected inpatients,the rate of infection was 11.87%.The main sites of hospital-acquired infection were the respiratory tract（65.81%） and urinary treat,the main flora was Gram-negative bacilli（54.62%） and then Gram-positive cocci（29.41%）,the fungal infection was increased.The risk factors included age,sex,the time of stay in hospital,underlying diseases,broad spectrum antibiotic and aggressive procedures and so on.CONCLUSION The senile inpatients are susceptible to hospital-acquired infection.Curing the underlying disease,reducing the risk factors and increasing body immunity are very useful to control hospital-acquired infection.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第24期3905-3906,共2页
Chinese Journal of Nosocomiology
关键词
老年
住院患者
医院感染
Elderly
Inpatients
Hospital-acquired infection
