摘要
目的探讨老年病科呼吸病区医院感染现状,并制定控制对策。方法对60例院内感染患者临床资料进行调查,分析其感染现状,危险因素,病原菌,用药情况及愈后。结果该病区感染发生率为17.8%,感染部位以呼吸道为主,占68.34%,其次为泌尿道占16.67%,胃肠道占5.00%,皮肤黏膜占3.33%,血液占3.33%。60例患者均患者有各种慢性疾病及含有多种危险因素,培养病原菌以革兰阴性杆菌和真菌为主分别为革兰阴性菌占55.26%,其次为真菌占有量26.32%,革兰阳性菌仅为18.42%。结论高龄,抵抗力低下,侵入性操作多,严重的原发心、脑、肺基础疾病及长期使用抗生素、激素均增大了院内感染几率,积极采取有效的综合防范措施,是降低其医院感染发生率的关键。
Objective To study nosocomial infection （NI） among geriahrics patients. Methods On basis of investigation of 60 gerialtrics patients to analyze its actuality, dangerous factors, pathogenic bacterium, treatmentand its countermeasures. Results The rate of NI among geriatrecs patients was 17. 8%, the common sites of NI were lower respiratory tract （68. 33% ）, upper respiratory tract （ 16. 57% ）, gastrointestinal tract （3.33%）, cutaneous infection （3.33%） Most patients included many kinds of risk factors for NI, and the pathogeny mostly was Gram negative bacilli （ 55.26% ）, fungi （26. 32% ） and Gram positive （ 18.42% ） . Conclusion The incidence rate of NI in Geriatric department is much higher than that in other departments. Geriatric should be treated as focal point on NI in hospitals. Pisk factors depend on the severity of underlying diseases, invasive procedure, the quality of disinfection and sterilization and sterilization, and patients＇ s immunity status especially in the old. The key to reducing incidence rate of NI is to take complebensicve measures.
出处
《广州医药》
2006年第5期19-21,共3页
Guangzhou Medical Journal
关键词
老年病科
医院感染
危险因素
预防控制
Geriatric department
Nosocmial infection
Risk factors
Prevention and control
