234例住院死亡病例医院感染分析  

An analysis of nosocomial infection in 234 hospitalized death cases

作　　者：陈卫平[1] 

机构地区：[1]广东省广州中医药大学附属新会中医院护理部,529100

出　　处：《中国实用医药》2009年第23期25-26,共2页China Practical Medicine

摘　　要：目的探讨住院死亡患者的医院感染特点,为预防和控制医院感染,降低死亡率,提供可靠依据。方法对本院自2006年11月至2008年10月234例住院死亡病例进行回顾性分析。结果234例死亡病例中发生医院感染98例,医院感染率为41.88%;感染部位以下呼吸道为主,≥60岁患者发生医院感染率明显升高;神经、循环系统疾病医院感染率较高;并随着住院时间延长医院感染发生率增高;医院感染具有季节性分布特点。结论死亡病例医院感染率高,可能与原发慢性消耗性疾病、不合理使用抗菌药物、侵入性操作、免疫性功能下降有关。Objective This study aims to explore the characteristics of nosocomial infection to death in-patients and the application of the findings from this study to the prevention and control of nosocomial infection and reducing the mortality. Methods An retrospective analysis was conducted in this study with 234 hospitalized death cases which in Xinhui Chinese Medicine Hospital during November of 2006 to October of 2008. Results The findings revealed that nosocomial infection happened in 98 cases among the total of 234, with a nosocomial infection rate of 41.88%. Again, lower respiratory tract was the main region of nosocomial infection. Patients aged 60 or over, nervous and circulatory system diseases, and prolonging the length of stay in hospital, all these factors could easily increase the nosocomial infection rate. Moreover, uosocomial infection had a seasonal characteristic. Conclusion Overall, the increase of nosocomial infection rate could relate to the primary chronic metabolic diseases, unreasonable use of antibacterial, invasive technique, and the descent of immune function.

关 键 词：死亡 医院感染 分析 

分 类 号：R181.3[医药卫生—流行病学]