血液病房医院感染危险因素分析  

Risk Factors about Hospital Infection in Hematology Ward

作　　者：曲岩红[1] 谭新玲 

机构地区：[1]山东省立医院,山东济南250021 [2]威海市卫生职工进修学校,山东威海264200

出　　处：《中华医院感染学杂志》2007年第11期1368-1369,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨血液科医院感染的临床特点,分析医院感染的危险因素,为有效控制医院感染的发生提供可靠依据。方法利用前瞻性和回顾性调查的方法,对血液科2005年1-12月全部住院患者进行统计分析。结果医院感染率为11.96%,例次感染率为12.96%,感染部位以呼吸道、口腔、泌尿道为主,占全部医院感染的76.92%,主要病原菌为白色假丝酵母菌、铜绿假单胞菌、大肠埃希菌等。结论血液科医院感染的发生与患者的住院天数、原发疾病、周围血白细胞和抗菌药物的应用等有关,对症治疗原发病、合理使用广谱抗菌药物、改善患者的住院条件、缩短患者的住院天数,是预防与降低血液科患者发生医院感染的主要措施。OBJECTIVE To investigate the clinical symptom of hospital infection in hematology ward and analyze the risk factors about hospital infection, so as to control occurrence of hospital infection. METHODS Using prospective and retrospective investigating methods, all sufferers in hematology ward of our hospital from Jan to Dee, 2005 were made statistical analysis. RESULTS Hospital infection rate was 11.96% and case infection rate was 12.96%. The infected sites were mainly respiratory tract, oral cavity and urethra, occupied 76.92M of all cases. Main pathogenic bacteria were Candida albicans, Pseudomonas aeruginosa, Escherichia coli, et al. CONCLUSIONS The occurrence of hospital infection in hematology ward is related to hospitalization time, underlying diseases, peripherial leucocyte count and using of antibiotic medicament. Main measures for preventing and reducing hospital infection are symptomatic treatment to underlying diseases, suitably using broad spectrum antibiotics, improvement of hospitalization conditions and shortening of hospitalization time.

关 键 词：医院感染 抗菌药物 危险因素 

分 类 号：R181.32[医药卫生—流行病学]