摘要
目的 了解老年住院患者院内感染情况和病原菌的耐药变迁。方法 对我院 1999年 1月～ 2 0 0 1年 1月两年间住院老年患者 30 0 5例进行院内感染调查。结果 老年院内感染发生率为 6 5 9% ,明显高于普通院内感染率 3 48% (P <0 0 5 )。感染的病原菌以革兰阴性杆菌为主 ( 6 6 13 % ) ,其次是真菌 ( 2 1 12 % )和革兰氏阳性球菌 ( 12 6 6 % ) ,以多重耐药的ESBLs和MRSS多见 ,白色念珠菌的感染也不容忽视。结论 老年患者易发生院内感染 ,对老年患者应采取积极预防 ,防治结合的原则。
Objective In order to know the condition of nosocomial infecfion on geriatric in-patients and the variation of pathogens with their drug resistances.Methods The geriatric in-patiens were investigated. Results The positive rate of geriatric nosocomial infection was 6.59%,the over all nosocomial infection was 3.08%.The main pathogens of geriatric nosocomial infection were Gram-negative bacteria(66.13%),as well as fungi(21.12%)and Gram-positive bacteria (12.66%).The most pathogens were multidrug-resistant bacteria,such as extended-spectrum β-lactamases(ESBLs)and methicillin resistant coagulase-negative staphylococcus(MRSCN).The candida albicans infection should be noticed too.Conclusions The geriatric in-patients are susceptible population to nosocomial infection,and the most isolated pathogens are multidrug resistant.It is very important that the geriatric nosocomial infection must be initially prevented,also combined with effecfive therapy.
出处
《云南医药》
CAS
2003年第1期5-7,共3页
Medicine and Pharmacy of Yunnan
