老年精神科患者医院感染调查分析

Investigation and analysis of nosocomial infection in the department of aged psychiatry

目的探讨老年精神科医院感染发生率,分析医院感染发生的相关因素。方法采用回顾性调查,对我院2000年1月至2005年12月在老年精神科住院的2365例病历进行分析。结果共查出医院感染278例,感染率为11·75%;感染部位以呼吸系统居首,160例次(57·55%),其次是泌尿系统55例次(19·78%)、皮肤感染33例次(11·87%);感染病原以铜绿假单胞菌、克雷白杆菌及大肠埃希杆菌多见。感染发生与基础疾病以及服用抗精神病药物等有关。结论提高医务人员对医院感染的意识,增强病人的身体素质,能有效降低老年精神科患者医院感染的发生率。

Objective To analyze the incidence of the nosocomial infection and correlated factors of nosocomial infection in the department of aged psychiatry. Methods By using the retrospective method, 2 365 inpatient cases in deparment of aged psychiatry from January 2000 to December 2005 were surveyed and analyzed. Results There were 278 cases of nosocomial infection. The infection rate was 11.75%. The major sites of the infection were respiratory system （57.55 % ）, urinary system （ 19. 78% ）and skin （ 11.87 % ）. The bacteria were pseudomonas aeruginosa, klebsieUa pneuginosa and escherichia coli. The infection was related with the time the patients stayed in hospital, the underlying diseaes and the use of antipsychotic agents. Conclusions Strengthening the medical employees＇ knowledge of nosocomial infection and enhancing the physical quality of the patients will effectively decrease the nosocomial infection in the department of aged psychiatry.