老年心脑血管病患者介入治疗医院感染因素分析及预防措施  

Risk factors for nosocomial infections in elderly patients with cardiovascular and cerebrovascular diseases undergoing interventional therapy

作　　者：黄林芬[1] 朱国庆[2] 虞希祥[2] 王永先 郭艳雪[4] 

机构地区：[1]瑞安市人民医院医务科,浙江瑞安325200 [2]瑞安市人民医院介入科,浙江瑞安325200 [3]瑞安市人民医院心内科,浙江瑞安325200 [4]瑞安市人民医院医教科,浙江瑞安325200

出　　处：《中华医院感染学杂志》2013年第24期5953-5954,5957,共3页Chinese Journal of Nosocomiology

摘　　要：目的分析老年心脑血管病患者介入治疗发生医院感染因素,总结医院感染预防措施,以有效降低医院感染发生率。方法回顾性分析2008年6月-2010年8月和2010年9月-2012年10月两个时间段在医院实施介入治疗老年心脑血管病患者临床资料,对2008年6月-2010年8月老年心脑血管病患者1076例(对照组)采用一般的医院感染预防措施,对2010年9月-2012年10月老年心脑血管病患者1635例(观察组)采用有针对性的预防措施,比较两个时间阶段的医院感染发生率,总结医院感染的危险因素。结果对照组患者医院感染98例,感染率9.12%;观察组患者医院感染62例,感染率3.79%,两组患者的医院感染率差异有统计学意义(P<0.05);鼻饲管和导尿管侵入性操作、导管室和手术室的卫生状况、抗菌药物的滥用均是医院感染的危险因素。结论对于介入治疗老年心脑血管病患者实施有效预防医院感染措施,能够降低医院感染的发生,缩短住院时间,节约医疗支出。OBJECTIVE To analyze the risk factors for nosocomiaI infections in the elderly patients with cardiovascular and cerebrovascular diseases undergoing interventional therapy and summarize prevention measures of noso-comial infections so as to effectively reduce the incidence of the nosocomial infections. METHODS The clinical data of the elderly patients with cardiovascular and cerebrovascular diseases who underwent the interventional therapy from Jun 2008 to Aug 2010 and from Sep 2010 to Oct 2012 were retrospectively analyzed, totally 1076 cases of elderly patients with cardiovascular and eerebrovascular diseases who were hospitalized from Jun 2008 to Aug 2010 were treated with the routine prevention measures for nosocomial infections （the control group）, while 1635 cases of elderly patients with cardiovascular and cerebrovaseular diseases who were hospitalized from Sep 2010 to Oct 2012 were treated with targeted prevention measures （the observation group）, then the incidence of nosocomial infections during the two stages were compared, and the risk factors for the nosocomial infections were anaIyzed. RESULTS The nosocomial infections occurred in 98 cases of the control group with the infection rate of 9.11~, the nosocomial infections occurred in 62 cases of the observation group with the infection rate of 3. 79~, the difference in the incidence of nosocomial infections between the two groups was statistically significant （P^0.05）. The invasive operations such as nasal and urinary catheterizations, condition of hand hygiene in the catheterization room and operating room, and abuse of antibiotics were the risk factors for the nosocomial infections. CONCLUSION To take effective prevention measures for the nosocomial infections in the elderly patients with cardiovascular and cerebrovascular diseases undergoing interventional therapy can reduce the incidence of nosocomial infections, shorten the length of hospital stay, and cut the medical expense.

关 键 词：心脑血管病 老年患者 医院感染 预防 

分 类 号：R181.32[医药卫生—流行病学]