326例心血管疾病医院感染分析及对策

Hospital Infection in 326 Patients with Cardiovascular Disease: Analysis and Tactics

目的探讨心血管内科住院患者医院感染发生的特点以及找出有效的防治措施。方法应用回顾性调查研究方法，对我院2000年1月～2004年12月出院的心血管内科患者医院感染发生情况进行调查分析。结果心血管内科医院感染发生率为3．38％，感染部位下呼吸道157例次占48．16％、上呼吸道66例次占20．25％、泌尿道40例次数占12．27％、胃肠道感染33例次数占10．12％、皮肤软组织18例次数占5．52％。结论心血管内科肺部感染是心力衰竭加重的常见诱因之一；必须加强心血管内科医院感染危险因素的认识，严格掌握使用抗菌药物的原则，注意无菌操作，积极治疗原发病。才能有效降低医院感染的发生。

OBJECTIVE To explore the occurring characteristic and curing measures of hospital infection for inpatients with cardiovascular disease. METHODS The data of hospital infection for inpatients with cardiovascular disease from Jan to Dec, 2004 were analyzed retrospectively. RESULTS The total incidence of hospital infection was ,3.38% for inpatients with cardiovascular disease. The infection located as follows： 157 patients were in lower respiratory tract （48.2%） ; 66 patients in upper respiratory tract （20. 2%） ; 40 patients in urinary tract （12. 3%） 33 patients in gastrointestinal tract （10. 1%）; and 18 patients were in cutis tissue （5.5%）. CONCLUSIONS Pneumonia is one of the inducing factors to heart failure for patients with cardiovascular disease. Applying antibiotics reasonably, aseptic operation and treating the primary affection could decrease the incidence of hospital infection.