老年患者医院感染现状分析  

Current status of nosocomial infections in elderly patients

作　　者：杨慧宁[1] 冀超[1] 张娜[1] 申凤兰[1] 谢秀彦 张莹莹[1] 杨海宁 

机构地区：[1]中国武警总医院感染控制科,北京100039 [2]武警青海总队医院医务部,西宁青海810007

出　　处：《中华医院感染学杂志》2016年第22期5110-5112,共3页Chinese Journal of Nosocomiology

基　　金：武警部队后勤部卫生部基金资助项目(WJHQWSB2013-06)

摘　　要：目的了解某医院住院患者及老年住院患者医院感染的现状,以提高对老年人医院感染的重视。方法利用信息化监控系统对某院2014年-2015年94 673例全院总住院患者医院感染情况进行回顾性分析,其中老年住院患者25 924例。结果两年老年住院患者医院感染率为2.57%;老年住院患者医院感染与性别、年龄、住院时间、基础疾病具有相关性;老年住院患者医院感染部位前三位依次为下呼吸道、上呼吸道、菌血症,与全院住院患者医院感染部位略有不同;老年住院患者医院感染高发科室前三位是外科ICU、综合ICU、干三科;2014年老年住院患者器械相关(呼吸机、中心静脉插管、尿管)感染率分别为20.96‰、5.60‰、5.33‰;2015年分别为27.63‰、2.16‰、6.01‰。结论老年住院患者是医院感染高危人群,加强对其监控,采取有效预防控制措施,控制老年住院患者医院感染能有效降低医院感染。OBJECTIVE To understand the current status of nosocomial infections in hospitalized patients and elder‐ly hospitalized patients so as to attach great importance to the elderly with nosocomial infections .METHODS By means of the nosocomial infection real‐time monitoring system ,the prevalence of nosocomial infections in 94 673 patients who were hospitalized from 2014 to 2015 was retrospectively analyzed ,including 25 924 elderly hospital‐ized patients .RESULTS The incidence of nosocomial infections was 2 .57% in the elderly hospitalized patients in the two years .The incidence of nosocomial infections in the elderly hospitalized patients was associated with the gender ,age ,length of hospital stay ,and underlying disease .The lower respiratory tract ,upper respiratory tract , and bacteremia ranked the top 3 nosocomial infection sites of the elderly hospitalized patients ,slightly differing from the hospitalized patients of the whole hospital .The surgery department ICU ,comprehensive ICU ,and the third cadres ward ranked the top 3 departments where the elderly hospitalized patients were at high risk of nosoco‐mial infections .The incidence rates of ventilator‐associated ,central venous catheter‐associated ,and urinary cathe‐ter‐associated infections were respectively 20 .96‰ ,5 .60‰ ,and 5 .33‰ in the elderly hospitalized patients in 2014 and were respectively 27 .63‰ ,2 .16‰ ,and 6 .01‰ in 2015 .CONCLUSION The elderly hospitalized patients are the population at high risk of nosocomial infections .It is an effective way to strengthen the monitoring ,take effective prevention measures ,and control the nosocomial infections in the elderly hospitalized patients so as to re‐duce the incidence of the nosocomial infections .

关 键 词：医院感染 老年患者 实时监控系统 

分 类 号：R181.32[医药卫生—流行病学]