老年患者医院感染的易感因素分析  

Risk factors of nosocomial infection in elderly patients

作　　者：丁翊[1] 刘芳[1] 

机构地区：[1]中国人民解放军第四五四医院干部病房,江苏省南京市210028

出　　处：《实用老年医学》2013年第9期761-763,共3页Practical Geriatrics

摘　　要：目的研究老年人易发生医院感染的危险因素,针对性制定预防措施,减少老年住院患者医院感染的发生。方法从糖尿病、恶性肿瘤、老年痴呆、长期卧床、留置鼻胃管、血红蛋白、血清白蛋白水平、住院天数等方面入手,分析比较发生医院感染患者与未发生医院感染老年人之间的差别。结果恶性肿瘤、老年痴呆症及长期卧床的住院老年患者易发生医院感染,住院时间长,血红蛋白及血清白蛋白水平较低也是危险因素,差异有统计学意义(P<0.01)。结论加强对患慢性疾病且长期卧床住院老年病人护理,增强营养支持、改善体质、缩短住院时间,尽量减少医院感染的发生。Objective To analyze the risk factors of the elderly patients who suffered from nosocomial infection,and to provide preventive measures to decrease the rate of nosocomial infection.Methods From the aspects of diabetes mellitus,malignant tumor,senile dementia,prolonged bed rest,indwelling nasogastric tube,hemoglobin,serum albumin,the long hospital stay,this study analyzed the risk factors of nosocomial infection.Results The elderly patients who suffered from malignant tumor,senile dementia and prolonged bed rest were prone to suffer from nosocomial infection.Long hospital stay,low hemoglobin,low serum albumin were also the risk factors of nosocomial infection(P < 0.01).Conclusions Strengthening the care for elderly patients who suffered from chronic disease and prolonged bed rest,and enhancing nutrition,improving the physique,shortening hospital stay are helpful to decrease the incidence of nosocomial infection.

关 键 词：医院感染 老年患者 危险因素 

分 类 号：R181.3[医药卫生—流行病学]