某医院老年患者院内感染因素分析  

Risk Factors of Iatrogenic Infection for Elderly Patients in Some Hospital

作　　者：王凤琼[1] 魏道琼[1] 刘佳芳[1] 

机构地区：[1]四川省人民医院,四川成都610041

出　　处：《预防医学情报杂志》2011年第8期581-583,共3页Journal of Preventive Medicine Information

摘　　要：目的探讨老年患者院内感染的危险因素以及预防对策。方法 调查某医院老年住院患者560例,对60例发生院内感染患者临床资料进行调查,分析院内感染的危险因素。结果某医院院内感染感染发生率为10.71%,阻塞性肺疾病院内感染率最高为12.83%,其次为恶性肿瘤10.58%,糖尿病9.26%,脑血管疾病为6.67%,心血管疾病5.13%。感染部位以呼吸道为主(51.67%);泌尿道其次(21.67%)。吸氧、静脉留置针、雾化等侵入性操作的院内感染发生率分别为95.00%。、81.67%和43.33%。病原菌培养以革兰阴性杆菌为主(60.94%)。结论 吸氧、静脉留置针、雾化等侵入性操作是院内感染的主要危险,不同基础疾病发生院内感染率不同,严格规范各类侵入性操作,并加强基础性疾病的治疗和合理使用抗生素,预防减少院内感染的发生。Objective To investigate the risk factors and preventive measures of iatrogenic infection for elderly patients.Methods Based on investigation of 60 elderly patients with iatrogenic infection,the risk factors,pathogenic bacterium,and its countermeasures were analyzed.Results The rate of iatrogenic infection among elderly patients was 10.71%.The common sites of iatrogenic infection were respiratory tract（51.67%） and urinary tract（21.67%）.The rate of iatrogenic infection of oxygen inhalation,vein remaining needle,and nebulization inhalation were 95.00%,81.67% and 43.33% respectively.The common pathogens were gram negative bacilli（60.94%）.Conclusion Invasive treatments such as oxygen inhalation,vein remaining needle,and nebulization inhalation were main risk factors of iatrogenic infection.The key to reducing incidence rate of iatrogenic infection is to normalize the procedures for invasive treatments,and strengthen the management of basic diseases,use antibiotics properly.

关 键 词：老年患者 院内感染 危险因素 

分 类 号：R197.323[医药卫生—卫生事业管理] R187[医药卫生—公共卫生与预防医学]