老年病科医院感染现状及院内感染危险因素分析  

Infection status in aged disease department of hospital and infectious risk factor analysis

作　　者：许珍[1] 梁小敏[1] 江幸钻[1] 林秀娟[1] 

机构地区：[1]广东省广州医科大学附属第二医院老年科,广州市510260

出　　处：《护理实践与研究》2016年第4期94-95,共2页Nursing Practice and Research

摘　　要：目的：分析老年科医院感染的危险因素,采取有针对性的防控措施。方法：选取我院2011年1月~2014年12月老年科收治的5407例患者中发生医院感染247例,对医院感染易感因素进行统计分析。结果：医院感染率为4.57%,感染部位主要为呼吸系统感染占69.64%。对感染患者分析发现放化疗、使用广谱抗菌药物、泌尿道插管、免疫抑制剂、营养不良、肿瘤、使用呼吸机、手术、糖尿病、动静脉插管易感因素进行分析,结果显示老年科医院感染的发生与使用广谱抗菌药、营养不良、糖尿病的关联差异有统计学意义（P〈0.05）。结论：通过监测了解到老年科医院感染的易感因素,有利于针对性地开展相关的预防控制措施,控制医院感染的发生。Objective：To analyze the risk factor of infection in aged disease department and adopt aiming prevention measurement. Methods：Among the 5407 cases received in aged disease department from January 201 lto December 2014 in hospital, there were 247 cases of infection, according to statistic re- sult of infectious factor, the hospital infectious rate was 4.57%, the main infectious part was respiratory system with infectious rate of 69.64%. it was found that chemoradiotherapy, broad - spectrum antibacterial applying, urinary tract eannula, immunosuppressor, malnutrition, turnout, breathing machine using, operation, diabetes, arterial cannula and venous eannula were all likely to be infected factors, the differences have statistical significance （P 〈 0. 05 ）. By further non - logistic regression analysis, it showed that the occurrence of infection in aged disease department and relevant difference of using broad - spectrum antibacterial, malnutrition and diabetes have statistical significance（ P 〈 0.05 ）. Conclusion ： Knowing the likely to be infected factors by monito- ring is good for developing relevant prevention and control measurements and control the occurrence of hospital infection.

关 键 词：医院感染 老年病房 易感因素 

分 类 号：R473[医药卫生—护理学]