儿童急性淋巴细胞白血病医院感染临床分析  

Clinical analysis of nosocomial infection in children with acute lymphoblastic leukemia at normal ward

作　　者：高红英[1] 陈娟娟[1] 陈光福[1] 

机构地区：[1]深圳市第二人民医院,广东深圳518000

出　　处：《临床医药实践》2010年第8期566-568,共3页Proceeding of Clinical Medicine

摘　　要：目的:了解入住普通病房急性淋巴细胞白血病(急淋)患儿诱导缓解及强化治疗期间医院感染的发生频率、感染部位、病原菌类型。方法:分析30例儿童急淋医院感染临床资料。结果:急淋患儿医院感染率为86.7%,医院感染部位以下呼吸道占首位,其次为上呼吸道、胃肠道、口腔、皮肤、血液、泌尿道;病原菌以G-杆菌多见,其次为球菌、真菌;≤3岁儿童医院感染率多于3岁以上儿童;急淋诱导化疗期及强化治疗期易患医院感染,其中诱导缓解期较强化治疗阶段感染率高。结论:急淋患儿医院感染发生率高,医院感染发生与患儿年龄、治疗阶段有关,常见细菌为G-菌。Objective ：To explore the occurrence rate,locus,and pathogenic bacteria types of nosocomial infection in children with acute lymphoblastic leukemia during the different phases of chemotherapy and provide information for treatment of nosocomial infection. Methods ：Thirty cases of nosocomial infection in children with acute lymphoblastic leukemia were analyzed. Results ：Nosocomial infection rate was 86.7%. The turns of infections locus are respiratory, digestive system,oral,skin or mucous. The main pathogens were gram negative bacilli,next were coccus and fungi. There were more infections in children less than 3 years old and the stage induced remission in chemotherapy. Conclusion：Children with acute lymphoblastic leukemia have high nosocomial infection rate at normal ward. The occurrence of nosocomial infection was related to age and stage of leukemia. The main pathogens of septicaemia were gram negative bacill.

关 键 词：儿童 急性淋巴细胞白血病 院内感染 

分 类 号：R733.7[医药卫生—肿瘤]