187例住院死亡病例医院感染分析

Hospital Infection among Deceased Inpatients:A 187 Case Analysis

目的探讨住院死亡患者的医院感染特点。方法对2004年1月-2005年12月期间,住院死亡病例进行回顾性分析。结果死亡病例的医院感染率为40.11%;感染部位以呼吸道为主,其次为泌尿系、消化系感染;≥60岁患者发生医院感染率明显升高;血液、循环、神经系统疾病医院感染率较高;住院时间的延长增加了医院感染;医院感染具有季节性分布特点。结论死亡病例医院感染率高,可能与原发慢性病重、患者年龄偏大、滥用抗菌药物、侵袭性操作增多有关。

OBJECTIVE To analyze the characters of hospital infection among deceased inpatients. METHODS The inpatients who died in hospital from Jan 2004 to Dec 2005 were analyzed retrospectively. RESULTS The infection rate of deceased inpatients was 40. 11%, and the location majored in respiratory tract, urinary system and digestive tract. The infection rate was apparently higher among the cases more than 60 years old, and those with hematological disease, circulatory disease and nervous system disease. The hospital infection rate was related with long hospitalization and had seasonal fluctuation. CONCLUSIONS The high hospital infection rate among deceased pabients may be related with the seriously underlying diseases, aging, drug abuse and invasive therapy.