老年病房院内感染特点与防治对策  

Analysis and Countermeasures on Nosocomial Infection in a Geriatric Ward

作　　者：许婷婷[1] 徐敏[1] 石晓燕[1] 

机构地区：[1]安徽省黄山市人民医院老年科,245000

出　　处：《中华全科医学》2012年第9期1385-1386,共2页Chinese Journal of General Practice

摘　　要：目的分析并探讨黄山市人民医院老年病房患者院内感染的特点及防治对策。方法回顾性分析2009年1月-2011年12月市人民医院老年病房124例院内感染患者的临床资料。结果老年病房患者院内感染率为6.3%,感染部位以呼吸道感染为主(85.5%),其次为泌尿道感染(11.3%);医院感染的主要危险因素为高龄、多种基础疾病、长期住院、侵入性操作、高效广谱抗生素及免疫抑制剂应用。结论老年病房患者院内感染发病率高,积极采取缩短住院时间,加强基础护理,合理使用抗菌素及加强院感管理等综合防范措施,是降低医院感染的关键;尽早明确诊断,合理足量抗菌药物使用,积极治疗原发病,加强支持处理是治疗的关键。Objective To study the risk factors of nosocomial infection in a geriatric ward and provide some prevention countermeasures. Methods The clinical data of 124 cases with nosocomial infection from January 2009 to December 2012 in a geriatric ward of our hospital were surveyed retrospectively. Results The total infection rate was 6.3%. The main infection site was respiratory tract（ 85.5% ） followed by urinary tract（ 11.3% ）. The risk factors for age elderly patients included the age ,underlying diseases,invasive operation,length of hospitalization, combination of antibiotics, and immune-suppressive agent application＇. Conclusion Elderly patients are more likely to develop nosocomial infection. Actively treating underlying diseases, shortening the hospital delay, attempting to avoid invasive operations, enhancing the immune function, and using reasonable antibiotics are crucial to reduce the incidence of nosocomial infections among elderly patients.

关 键 词：老年患者 院内感染 易感因素 临床特点 防治 

分 类 号：R592[医药卫生—老年医学]