162例老年患者医院感染的回顾性调查  

Retrospective Investigation of 162 Elderly Patients with Nosocom ial Infection

作　　者：李晓庆[1] 陈玮 许颖[1] 

机构地区：[1]成都医学院第一附属医院,610500 [2]武警四川省总队医院

出　　处：《检验医学与临床》2009年第11期864-864,866,共2页Laboratory Medicine and Clinic

摘　　要：目的为有效控制和预防老年患者发生医院感染提供依据。方法对临床2007年1月至2008年12月共162例大于或等于60岁老年医院感染病例进行回顾性调查。结果老年患者院内感染发生率占同期医院感染的40.7%,感染部位以呼吸系统感染为主,占44.62%,其次为泌尿系感染和胃肠道感染。结论老年患者医院感染的主要危险因素为:机能衰退引发免疫力低下、严重的慢性基础疾病、长期住院、各种侵入性操作,大量抗菌素及免疫抑制剂的使用所至的二重感染。积极采取综合防范措施,是降低医院感染的关键。Objective To provide evidence for effectively preventmg and controling me ageo panents with nosocomial infection. Methods We investigated respectively 162 patients over 60 years old with nosocomial infection from Jan 2007 to Dec 2008. Results The incident rate of nosocomial[ infection of aged patients was 40.7% among the total patients with nosocomial infection from Jan 2007 to Dec 2008. The organs that infections involved were included respiratory system （44.62 % ） mainly, and the next was urinary tract and gastrointestinal tract. Conclusion The main risk factors were serious basic diseases, hypoimmunity, long - term hospitalization, various invaded operations and opportunistic infection which was caused by application of large amount of antibiotics and munoinhibitors. Actively integrated preventive measure is the key to reduce the incidence of the disease in the hospital.

关 键 词：老年患者 医院感染 回顾性调查 

分 类 号：R183.9[医药卫生—流行病学]