肿瘤专科医院患者医院感染的临床分析  

Nosocomial Infection Cases with Malignant Tumor in Cancer Hospital: A Clinical Investigation

作　　者：卫燕[1] 戚宜晶[1] 余荣[1] 马戈[1] 

机构地区：[1]北京大学临床肿瘤学院,北京肿瘤医院北京100036

出　　处：《中华医院感染学杂志》2003年第3期217-218,共2页Chinese Journal of Nosocomiology

摘　　要：目的　了解肿瘤专科医院中恶性肿瘤患者并发医院感染的特点及预后。方法　对我院近 6年收治的恶性实体瘤患者 (包括恶性淋巴瘤 )中并发医院感染的 14 2 2例患者的临床情况进行回顾性调查。结果　肿瘤专科医院中医院感染多见于淋巴瘤和肺癌 ;≥ 6 0岁、临床 ～ 期的患者较易并发感染 ;呼吸道是最常见的好发部位 ;病原菌以 G- 菌为主 ,占 5 6 .1% ;亚胺培南 /西司他丁 (泰能 )和万古霉素分别对 G- 菌和 G+ 菌保持较高的敏感性。结论　恶性肿瘤患者医院感染的病原菌多为条件致病菌且耐药率较高。OBJECTIVE To investigate the characters and prognoses of nosocomial infection patients with malignant tumor.METHODS There were 1 422 malignant tumor(included malignant lymphoma) cases with nosocomial infection being analysed. RESULTS Nosocomial infection occurred mainly in patients with malignant lymphoma and lung cancer. The malignant tumor patients who were older than 60 years old or in phase Ⅲ-Ⅳ were infected easily. The respiratory tract was the most frequent infection site. The most common pathogens was the Gram negative bacilli (56.1%), which were relatively sensitive to imipenem. The Gram positive cocci were relatively sensitive to vancomycin. CONCLUSIONS The conditioned pathogenic bacteria were the main pathogens in nosocomial infection with malignant tumor and most of them resisted to antibiotics.

关 键 词：临床分析 恶性肿瘤 医院感染 

分 类 号：R730.1[医药卫生—肿瘤] R181.34[医药卫生—临床医学]