老年肝病患者医院感染临床分析  

Clinical analysis of hospital infection in senile patients with hepatopathy

作　　者：梁伟屏[1] 

机构地区：[1]柳州市人民医院内科,广西柳州545001

出　　处：《中国感染控制杂志》2003年第4期260-261,285,共3页Chinese Journal of Infection Control

摘　　要：目的　探讨老年肝病患者医院感染状况及对转归的影响。方法　回顾性分析、比较老年组和非老年组 ,老年各类肝病组医院感染的发生率和病死率。结果　老年组医院感染发生率和病死率分别为 33.93%和2 5 .2 6 % ,明显高于非老年组的 1 4 .6 6 %和 5 .95 % (P <0 .0 1 ) ;老年急慢性肝炎、重型肝炎、肝硬化各组间医院感染率和病死率的差异显著 (P <0 .0 1 ) ,以重型肝炎组感染率和病死率较高 ;感染部位以呼吸系统最多见 ;病原菌以革兰阴性菌及真菌为主。结论　真菌已成为老年肝病患者医院感染的重要病原菌。老年肝病患者 ,尤其是重型肝炎患者 ,易发生各种医院感染 。Objective To study the hospital infection in senile patients with hepatopathy and prognosis. Methods Analyzing and comparing the hospital infection rate and mortality between the senile and non senile patients groups who suffered from various kinds of hepatitis. Results The hospital infection rate and death rate of the senile patients was 33.93% and 25.26% respectively, which were obviously higher than that of non senile patients ( 14.66% and 5.95% ); There was significant difference in the hospital infection rate and mortality among the senile patients with acute and chronic viral hepatitis, hepatitis gravis and hepatic cirrhosis. The hospital infection rate and mortality of hepatitis gravis group were higher than the others; the infection of respiratory system was the commonest; the main pathogens were Gram negative bacteria and fungi. Conclusion Fungi is the major pathogens causing hospital infection in senile patients with hepatopathy; the senile patients with hepatopathy, especially hepatitis gravis tend to develop all kinds of hospital infection, which seriously affects prognosis and make exacerbation and death.

关 键 词：老年 肝病 医院感染 发生率 病死率 

分 类 号：R575[医药卫生—消化系统] R181.34[医药卫生—内科学]