全国医院感染监控网白血病患者医院感染资料分析  

Analysis of data about nosocomial infection in patients with leukemia reported to the national nosocomial infection surveillance net

作　　者：文细毛[1] 任南[1] 吴安华[1] 徐秀华[1] 

机构地区：[1]中南大学湘雅医院,湖南长沙410008

出　　处：《中国感染控制杂志》2006年第1期29-31,共3页Chinese Journal of Infection Control

摘　　要：目的了解白血病患者医院感染发病率及其医院感染特点。方法对全国医院感染监控网医院1999年6月-2002年6月上报的白血病患者医院感染资料进行统计分析。结果77家医院共监测白血病患者23 837住院例次,上报医院感染4 659人次,5 799例次,人次感染率和例次感染率分别为19.55%与24.33%;感染部位以上呼吸道最多见,达31.94%,其次为下呼吸道23.30%,其他部位16.25%,胃肠道10.30%,血液6.91%;发生感染时的住院时间,以上呼吸道感染发生的平均时间最短(14.12±2.75 d),血液感染最长(20.89±2.57 d),两者相比,差异有显著性(t=16.51,P<0.01)。结论白血病患者医院感染率高,通常先发生浅表部位感染,后发生深部感染,应针对患者住院的不同时期,采取不同医院感染预防措施。Objective To realize the incidence and features of nosocomial infection （NI） in patients with leukemia. Methods Data about NI in patients with leukemia reported to the national NI surveillance net from June 1999 to June 2002 were analysed. Results 23 837 patients with leukemia in 77 hospitals were monitored, 4 659 patients occurring 5 799 cases of NI were reported, personal and case infection rate was 19.55% and 24.33% respectively ; the most common infection site was upper respiratory tract （31.94%）, the next were lower respiratory tract （23.30%）, other sites （ 16.25 % ）, gastrointestinal tract （10.30%） and bloodstream （6.91%） ; the shortest and the longest average length of hospital stay was in patients with upper respiratory infection （14.12 ± 2.75 days） and bloodstream infection （20.89 ± 2.57 days） respectively, there was significant difference between the two （ P 〈 0.01）. Conclusion The incidence of NI in patients with leukemia is high, the occurrence of deep infection is usually followed by superficial infection. Different prevention and control measures should be taken according to different stage of patients＇ hospital stay.

关 键 词：白血病 医院感染 感染控制 数据收集 

分 类 号：R181.32[医药卫生—流行病学]