某院老年病科医院感染特点及其危险因素研究  

NOSOCOMIAL INFECTION CHARACTERS AND RISK FACTORS IN GERIATRIC WARD

作　　者：张银维[1] 杨军[1] 

机构地区：[1]浙江省宁波市第一医院,浙江宁波315000

出　　处：《中国消毒学杂志》2013年第9期849-851,共3页Chinese Journal of Disinfection

摘　　要：目的研究老年科病房医院感染的特点及其危险因素,以加强防控措施。方法采用回顾性调查方法,对宁波市第一医院老年病房2010-2011年收治的1 860例住院患者进行了调查。结果该医院老年病科1 860例住院患者中,发生医院感染181例、197例次,医院感染率为9.7%、例次感染率为10.6%。老年患者医院感染部位以呼吸道为主,占56.9%;其次为泌尿道感染,占14.7%。从感染患者标本中检出病原菌178株,其中革兰阴性菌占64.0%,革兰阳性菌占26.4%。基础疾病、意识障碍、长期住院、侵入性操作等构成老年患者医院感染主要危险因素。结论老年科医院感染发生率高,危险因素明确,应有针对性地加强防控措施。Objective To study the nosocomial infection characters and risk factors in geriatric ward, and to enhance the prevention and control measures. Methods A retrospecvtive study was carried out to investigate the clinical data of 1 860 elder inpatients in geriatric ward of Ningbo first hospital during year 2010 -2011. Results Among 1 860 inpatients received by geriatric ward of our hospital, 181 inpatients and 197 times had nosocomial infection. The infection rate was 9. 7% and the time infection rate was 10. 6%. The main Site of nosocomial infection in geriatric ward was respiratory tract （56.9%） and then was urinary tract （ 14. 7% ）. A total of 178 strains bacteria were isolated from the specimens, the main flora was the Gram - negative bacilli （64. 0% ） and then was the Gram - positive coccus （26. 4% ）. The risk factors of nosocomial infection in geriatric ward included underlying disease, unconsciousness, long - time stay in hospital, and aggressive procedures, etc. Conclusion The incidence of nosocomial infection in geriatric ward is relatively high and the risk factors are clear, so the prevention and control measures should be taken directly

关 键 词：老年科病房 医院感染 危险因素 

分 类 号：R181.32[医药卫生—流行病学]