妇科肿瘤患者医院感染特征及易感因素分析  

Characteristics and predisposing factors for nosocomial infections of tumor patients in gynecology department

作　　者：邢海燕[1] 栾艳[1] 张引民[1] 孟令新[2] 

机构地区：[1]日照市人民医院妇科,山东日照276826 [2]日照市人民医院肿瘤科,山东日照276826

出　　处：《中华医院感染学杂志》2013年第18期4436-4437,共2页Chinese Journal of Nosocomiology

基　　金：山东省自然科学基金资助项目(ZR2010HL053)

摘　　要：目的分析妇科肿瘤患者医院感染的临床特征和相关因素,为临床恶性肿瘤医院感染的监控提供指导和依据。方法制定统一的临床研究表格,收集2002年1月-2011年12月1894例妇科肿瘤住院患者的临床资料,分析医院感染发生率和感染部位,并分析贫血、放疗、化疗、手术和侵入性操作等对感染的影响,采用单因素χ2检验或方差分析。结果共47例患者发生医院感染,感染率为2.48%;感染部位以上呼吸道、下呼吸道和胃肠道为主,分别占34.04%、23.40%和19.15%;医院感染与贫血、手术、放疗、化疗和接受侵入性操作有关(P<0.05)。结论应重视妇科肿瘤患者呼吸道和胃肠道的医院感染,对具有易感因素的患者应加强医院感染监测,加强贫血、接受放疗和化疗患者的造血功能检测,严格无菌操作,尽量减少非必要的侵入性操作,有效降低医院感染的发生。OBJECTIVE To analyze the clinical characteristics of nosocomial infections in the tumor patients of gyne cology department and explore the risk factors so as to provide basis for the monitoring of malignant tumor patients with nosocomial infections, strengthen women＇s health care, reduce the incidence of complication, and improve the prognosis. METHODS The unified clinical research tables were drafted, the clinical data of 1894 cases of patients were collected to analyze the incidence of nosocomial infections and the infection sites, then the impact of risk factors including the anemia, chemotherapy, radiotherapy, surgery, and invasive operation on the incidence of infections was analyzed, and the univariate chi-square test or variance analysis was performed. RESULTS The nosocomial infections occurred in 47 cases, and the infectious rate was 2.48%. The upper respiratory tract, lower respiratory tract,and gastrointestinal tract were the predominant infection sites, accounting for 34.04 %, 23.40%, and 19.15 %, respectively. It was suggested that the incidence of nosoeomial infections was related to the anemia, surgery, radiotherapy, chemotherapy,and invasive operation（P〉0.05）. CONCLUSION It is necessary to attach im- portance to the respiratory tract infections and the gastrointestinal tract infections in the tumor patients of gynecology department, strengthen the monitoring of the patients with such susceptible factors, intensify the examination of hematopoietic function of the patients undergoing radiotherapy or chemotherapy, strictly keep aseptic operation, and try to reduce unnecessary invasive operation so as to effectively reduce the incidence of nosocomial infections.

关 键 词：医院感染 贫血 化疗 放疗 

分 类 号：R737[医药卫生—肿瘤]