老年精神科住院患者医院感染调查及危险因素分析  

Investigation of risk factors for nosocomial infections in hospitalized patients of geriatric psychiatry department

作　　者：欧萌萌[1] 

机构地区：[1]无锡市精神卫生中心检验科,江苏无锡214151

出　　处：《中华医院感染学杂志》2013年第10期2330-2331,共2页Chinese Journal of Nosocomiology

摘　　要：目的调查老年精神科住院患者医院感染现状,制定有针对性的防治措施以预防与控制医院感染。方法对2010年1月-2011年11月老年精神科住院患者采用回顾性调查。结果医院感染发生率11.23%,好发部位以上呼吸道、胃肠道、下呼吸道为主,分别占40.74%、23.15%、12.04%;呼吸道感染好发于春、秋、冬季,胃肠道感染与泌尿道感染好发于秋季;最常见感染病原菌以肺炎克雷伯菌、大肠埃希菌、金黄色葡萄球菌为主,分别占29.63%、23.15%、19.44%。结论老年精神科患者的医院感染有一定的特殊性,根据老年精神科医院感染的特点,采取积极有效的预防措施,提高医务人员控制医院感染的能力,降低医院感染率。OBJECTIVE To investigate the current status of the nosocomial infections in the hospitalized patients in the geriatric department and formulate targeted prevention measures to prevent and control nosocomial infections. METHODS The geriatric department patients who were hospitalized from Jan 2010 to Nov 2011 were investigated retrospectively. RESULTS The incidence rate of the nosocomial infections was 11. 23%, the upper respiratory tract, gastrointestinal tract, and the lower respiratory tract were the most susceptible infection sites, accounting for 40.74 %, 23.15 %, and 12.04 %, respectively. The respiratory tract infections mainly occurred in the spring, autumn ,and winter, while the gastrointestinal tract infections and urinary tract infections mainly occurred in the autumn. The Klebsiella pneurnoniae, Escherichia coli, and Staphylococcus aureus were the most common pathogens causing infections, accounting for 29.63%, 23.15 %, and 19.44%, respectively. CONCLUSION The nosocomial infections in the patients of geriatric department have their own characteristics on the basis of which the effective prevention measures should be taken to improve the medical staff＇s ability to control the nosocomial infections and reduce the incidence of nosocomial infections.

关 键 词：医院感染 老年精神科 危险因素 预防 

分 类 号：R181.32[医药卫生—流行病学]