老年人医院感染64例临床分析  

Nosocomial Infection in Aged Patients: A Clinical Analysis of 64 Cases

作　　者：刘晓红[1] 孙国良[1] 周宏伟[1] 刘玉兰[1] 

机构地区：[1]新疆克拉玛依市中心医院,新疆克拉玛依834000

出　　处：《中华医院感染学杂志》2003年第9期831-832,共2页Chinese Journal of Nosocomiology

摘　　要：目的　探索老年人医院感染特点和预防措施。方法　对 6 4例老年人医院感染进行回顾性分析。结果　医院感染率 7.11% ,病死率 9.375 % ,明显高于非感染组病死率 2 .5 1% (P <0 .0 1) ;感染多发生在冬春季 (6 6 .6 6 % ) ,其中以呼吸道感染为主 (5 4 .6 7% ) ;它与住院时间长、长期联用多种抗生素、免疫力低下、侵入性操作有关 ,感染细菌以革兰阴性杆菌为主 (6 4 % )。结论　通过控制抗生素的应用、缩短住院时间、提高机体抵抗力、减少侵入性操作等诱发因素降低老年医院感染。OBJECTIVE To investigate the characteristics and preventive measures of nosocomial infection in aged patients. METHODS Retrospective survey was carried out in 64 aged patients for the situation of nosocomial infection. RESULTS Total nosocomial infection rate was 7.11%, and the mortality was 9.375%, significantly higher than that of uninfected cases (χ 2=7.44, P<0.01). The infection rate increased in winter and in spring (66.6%). The respiratory tract was found to be the most commonly involved sites (54.6%). Nosocomial infection is related to long period hospitalization, long duration of combined antibiotics and steroids, dysfunction of immunity and aggressive procedures. The most common bacteria were Gram negative bacilli (64%). CONCLUSIONS To control using antibiotics, reduce hospitalization time, enhance immunity, lessen aggressive procedures and other induced factors in order to reduce nosocomial infections.

关 键 词：老年 医院感染 诱发因素 

分 类 号：R181.32[医药卫生—流行病学]