恶性肿瘤患者放化疗后医院感染分析  

Analysis of nosocomial infection of patients with malignant tumor after radiotherapy and chemotherapy

作　　者：战淑彩 

机构地区：[1]山东省即墨市人民医院肿瘤二科,266200

出　　处：《中国实用医药》2014年第26期18-19,共2页China Practical Medicine

摘　　要：目的分析探讨恶性肿瘤患者放化疗后医院感染特点,为降低恶性肿瘤患者的医院感染率提供依据。方法 269例恶性肿瘤放化疗后患者的临床资料,分析患者的一般临床症状、接受的诊断及治疗情况、发生医院感染的时间以及部位、所感染的病原菌的种类以及抗菌药物的使用情况,并做整理归纳分析。结果 269例患者57例并发医院感染,感染率为21.19%;感染部位以呼吸道感染为主,为47.37%,医院感染率与患者体内的白细胞数呈负性相关性。结论恶性肿瘤放疗、化疗后骨髓抑制,机体免疫力下降,易导致医院感染,必须加强医院感染的管理,控制易感因素。Objective To investigate the features of nosocomial infection of patients with malignant tumor after radiotherapy and chemotherapy, and to provide evidence for reducing the rate of nosocomial infection. Methods Clinical data of 269 cases of malignant tumor received radiotherapy and chemotherapy were used to analyze the common clinical symptom, situation of diagnosis and treatment, time and position of nosocomial infection, type of pathogenic bacteria, and use of antibacterial were all summarized and analyzed. Results Among the 269 cases, there were 57 cases with nosocomial infection, and the infection rate was 21.19%. The respiratory infection was the main infection site, and the infection rate was 47.37%. The infection rate had negative correlation with the count of leukocyte. Conclusion Patients with malignant tumor after radiotherapy and chemotherapy are easy to have nosocomial infection, due to bone marrow suppression and low immunity. The management of nosocomial infection should be strengthened to control predisposing factors.

关 键 词：恶性肿瘤 医院感染 放疗 化疗 

分 类 号：R730.5[医药卫生—肿瘤]