老年下呼吸道医院感染白色假丝酵母菌的临床干预  

Clinical Intervention of Nosocomial Candida albicans Infection of Lower Respiratory Tract Infection of Elderly Patients

作　　者：叶茂林[1] 李玉[2] 

机构地区：[1]淮安市第二人民医院感染管理科,江苏淮安223002 [2]淮安市第一人民医院感染管理科,江苏淮安223300

出　　处：《中华医院感染学杂志》2010年第12期1801-1802,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨控制老年患者下呼吸道白色假丝酵母菌医院感染的相关因素及干预措施。方法将2006-2007年老年住院患者作为对照组,2008-2009年老年住院患者作为干预组;应用SPSS 11.0统计软件,比较干预前后两组的感染率、抗菌药物使用率。结果干预后白色假丝酵母菌医院感染率明显下降,差异有统计学意义(t=2.29,P<0.05);干预后抗菌药物使用率从68.27%降至55.36%,差异有统计学意义。结论有效地控制老年患者下呼吸道白色假丝酵母菌医院感染的相关因素,合理使用抗菌药物是减少二重感染的关键。OBJECTIVE To evaluate the risk factors of nosocomial Candida albicans infection in lower respiratory tract and the measures of clinical intervention on risk factors of C. albicans infection. METHODS Medical records of 30890 patients over 60 years old were collected between 2006 and 2009, and divided into two groups： the control group, the elderly patients between 2006 and 2007; and the intervention group, the elderly patients between 2008 and 2009. The infection rate and antibiotics usage were analyzed by SPSS11. 0 software. RESULTS The intervention group was significantly decreased compared with control group （t=2.29, P〈0.05） ; the use rate of antibiotics in intevention group decreased from 68. 27% to 55. 36%, and the difference was statistically significant. CONCLUSIONS To effectively control the related factors of nosocomial infection of C. albicans in elderly patients and rationaly use the antibiotics are the key to reduce the duplicate infection.

关 键 词：老年患者 医院感染 下呼吸道 白色假丝酵母菌 

分 类 号：R379[医药卫生—病原生物学]