42例老年肺癌患者术后医院感染的临床研究  

Clinical study on nosocomial infections in 42 elderly patients with lung cancer after operation

作　　者：任杰[1] 朱宏[1] 何树松[1] 罗继文[1] 刘文[1] 

机构地区：[1]绵阳市中心医院胸心外科,四川绵阳621000

出　　处：《中华医院感染学杂志》2013年第4期808-809,825,共3页Chinese Journal of Nosocomiology

摘　　要：目的分析研究42例老年肺癌患者术后医院感染的临床资料,为预防控制医院感染提供依据。方法选取2001年1月-2012年7月于医院进行手术治疗的327例老年肺癌患者为研究对象,将其中医院感染发生率、感染部位及病原菌分布进行统计分析。结果 327例患者中共有42例发生医院感染,感染率为12.84%,其中以呼吸道、消化道及泌尿道感染发生率最高,分别占61.90%、14.29%和11.90%,病原菌中以革兰阴性菌中的铜绿假单胞菌检出率最高,检出率为34.43%,明显高于其他菌种,差异有统计学意义(P<0.05)。结论老年肺癌患者术后医院感染的发生部位以呼吸道、消化道及泌尿道感染为主,病原菌则以革兰阴性菌为主,应给予充分的重视。OBJECTIVE To analyze the clinical data of 42 elderly patients with lung cancer who were with nosocomial infections after the surgery so as to provide basis for the prevention and control of nosocomial infections.METHODS A total of 327 elderly patients with lung cancer who were treated with surgery in the hospital from Jan 2001 to Jul 2012 were chosen as the study subjects,and the incidence of nosocomial infections,the infection sites,and the distribution of pathogens were statistically analyzed.RESULTS Of totally 327 patients,the nosocomial infections occurred in 42 cases with the infection rate of 12.84%.The incidence rates of the respiratory tract infections,the gastrointestinal tract infections,and the urinary tract infections were the highest,which were 61.90%,14.29%,and 11.90%,respectively.The isolation rate of Pseudomonas aeruginosa was the highest（34.43%） among the gram-negative bacteria,significantly higher than other species,the difference was statistically significant（P0.05）.CONCLUSION The nosocomial infections mainly occur in the respiratory tract,digestive tract and urinary tract of the elderly patients with lung cancer after the surgery,the gram-negative bacteria are dominant in the pathogens,which should be attached great importance to.

关 键 词：老年肺癌 手术 医院感染 感染部位 病原菌 

分 类 号：R181.32[医药卫生—流行病学]