住院死亡患者医院感染62例分析

An Analysis of Nosocomial Infection for 62 Death Cases

280例住院死亡患者中,62例发生医院内感染(22.1％),以恶性肿瘤死亡患者医院感染率最高(36.2％)。医院感染率随住院时间延长而呈增高趋势。62例医院内感染者平均住院41.7天,218例无医院内感染者为12.2天(P<0.01)。细菌培养以革兰氏阴性杆菌为主(67.9％),死亡病例医院感染以下呼吸道感染发生率高,危害性大,为死亡因素首位。

Among 280 death cases, 62 had nosocomial infec-tion accounting for 22.1%, The patients who died ofmalignant tumor had the highest infection rate (36.2%), which tended to increase with the prolonga-tion of hospitalized days. The 62 cases with the infec-tion were hospitalized for 41.7 days on average, andthe rest 218 cases without the infection werehospitalized for 12.2 days (P<0.01). Gram-negativebactrium appeared to be the main bacterium in lowerrespiratory tract was higher and had bigger hazardand was the first death risk.