肿瘤专科医院医院感染的流行病学分析

Epidemiologic Analysis of Hospital Infection in Tumor Hospital

[目的]了解肿瘤专科医院患者医院感染的临床流行病学特征。[方法]对2000～2003年18940例住院患者进行临床流行病学分析。[结果]医院感染率为5.8%(1103/18940),漏报率4.8%(53/1103);化疗科医院感染率最高(8.1%),占全院的60.2%,明显高于外科(占全院的2.8%)(P<0.01)和放疗科(占17.0%)(P<0.01);感染部位中呼吸道占首位,46.7%;真菌感染较严重,占送检病例的42.8%。[结论]化学治疗科及呼吸道感染、真菌感染问题,是肿瘤专科医院患者医院感染监控的重点。

To investigate the clinical epidemiologic characteristic of hospital infection in malignant patient treated in tumor hospital.18 940 cases inpatients with malignant tumor were analyzed epidemiologically from 2000 to 2003.Incidence of hospital infection in patients with malignant tumor was 5.8%(1103/18940),the rate of miss report was 4.8%(53/1103).The incidence of hospital infection in the department of chemotherapy was the highest(8.1%) with the proportion of hospital infection 60.2%,which was higher than that in department of surgery(22.8%,P<0.01) and radiotherapy(17.0%,P<0.01).The main site of infection was respiratory tract (46.7%).The fungal infection was serious, accounted for 42.8% in all detected cases.[Conclusions]It is important to monitor hospital infection in patient with chemotherapy and with respiratory tract infection or fungal infection in tumor hospital .