老年精神病患者医院泌尿道感染目标性监测及危险因素分析  

Targeted monitoring and risk factors of urinary tract infections in senile patients with mental diseases

作　　者：费静霞[1] 曹玲珍[1] 蒋菊芳[1] 

机构地区：[1]南京医科大学附属无锡精神卫生中心护理部,江苏南京214151

出　　处：《中华医院感染学杂志》2011年第16期3375-3376,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨老年精神科患者泌尿道感染的危险因素,为制定医院感染预控措施提供理论依据。方法采用动态目标性监测方法,对2008年1-12月住医院老年精神科患者泌尿道感染及相关危险因素进行调查。结果 942例老年精神病患者中发生医院感染48例,感染率为5.1%;泌尿道感染16例,占1.7%;以革兰阴性菌感染为主,占43.75%,主要为大肠埃希菌4株,占25.00%,变形菌属3株,占18.75%;合并其他疾病、住院时间长、年龄大、侵入性操作及不合理使用抗菌药物是发生泌尿道感染危险因素。结论老年精神科患者泌尿道感染危险因素多,开展动态目标性监测,制定预控措施,能有效降低医院泌尿道感染发生。OBJECTIVE To discuss the risk factors for the development of pre-hospital infection in psychiatric patients with urinary tract infection,and to provide a theoretical basis for control and prevention of nosocomial infections.METHODS Of dynamic target of monitoring methods,1-12 month of the 2008 psychiatric patients living in senile urinary tract infection and related risk factors were investigated.RESULTS Among 942 cases of mental patients,48 cases had nosocomial infection（5.1%）;urinary tract infection in 16 cases（1.7%）,Gram-negative bacteria were the main infection（43.75%）,mainly Escherichia coli 4（25%）,Proteus 3（18.75%）.Based on the primary disease combined with other diseases,hospital stay,older,invasive procedures and combined two kinds of antibiotics were risk factors for urinary tract infection.CONCLUSION Elderly patients with psychiatric risk factors for urinary tract infections and more targeted to carry out dynamic monitoring,development of pre-control measures,can reduce the hospital urinary tract infection.

关 键 词：老年精神病患者 泌尿道感染 目标性监测 危险因素 

分 类 号：R181.32[医药卫生—流行病学]