老年呼吸内科病原菌感染的相关因素分析及干预对策  

The analysis of relevant factors of nosocomial infection of elder patients in the department of respiratory medicine and interfering strategy

作　　者：雷鸣[1] 刘德贝[1] 雷雨婷[1] 

机构地区：[1]湖南省常德市第一人民医院检验科,415000

出　　处：《检验医学与临床》2011年第12期1471-1472,共2页Laboratory Medicine and Clinic

摘　　要：目的调查了解老年呼吸内科病房病原菌感染的现状,对感染相关因素进行分析,以制定干预措施。方法对本院2006年1月至2010年12月老年呼吸内科785例住院病例进行回顾性研究。结果 785例患者检出396株病原菌,感染部位以上呼吸道感染最高,占48.9%;其次是胃肠道感染,占23.2%。感染的危险因素与患者的基础疾病、住院时间长短、大量使用抗生素及侵入性诊疗操作等有相关性。结论建立完善的医院感染管理制度,严格无菌技术操作,减少不必要的侵入性操作,合理使用抗菌药物,缩短住院时间等是降低老年呼吸内科医院感染发生率的措施。Objective To explore current situation and relevant factors of nosocomial infection for the development of interventions for elder patients in the department of respiratory.Methods A retrospective study was performed on 785 elder patients in the department of respiratory medicine in our hospital from January 2006 to December 2010.Results 396 strains of pathogens were detected in 785 inpatients.The highest rate of infection place was upper respiratory tract,and the infection rate was 48.9%,followed by gastrointestinal tract with an infection rate of 23.2%.The infection factors were related to fundamental diseases,hospitalization period,aggressive operations and unreasonable antibiotics usage.Conclusion A complete hospital infection management system should be found and executed according to requests.It should be operated with strict sterile technique,hand washing,reducing unnecessary invasive operation,and use antibacterial drugs reasonably,shortening the hospitalization days,and so on.These are effective measures to decrease the nosocomial infections in the department of respiratory medicine.

关 键 词：病原菌 医院感染 防治措施 

分 类 号：R193[医药卫生—卫生事业管理]