恶性肿瘤患者医院感染分析

Analysis on Hospital Infection Among Malignant Tumor Patients

目的分析恶性肿瘤患者住院期间的医院感染相关因素,探讨其预防、控制医院感染管理措施。方法回顾性调查分析遂宁市人民医院2001-01/2005-12恶性肿瘤住院患者医院内感染的发病情况及其影响因素。结果5529例恶性肿瘤患者中,医院感染率为6.26%,以呼吸道感染构成比最高,其中上呼吸道为25.72%、下呼吸道为36.42%。老年患者、住院时间长、化疗或放疗、长期大量使用二联以上抗生素以及接受各种侵袭性操作是医院感染的高危因素。结论缩短住院时间,提高免疫力,加强呼吸道护理,合理使用抗生素,严格侵袭性操作适应症是减少医院内感染的主要措施。

Objective To analyse related factors of hospital infection among hospitalized tumor patients so as to explore control measures. Method Retrospective surrey and analysis were made based on hospital infection morbidity and influence factors in rumor patients from January 2001 to Decmber 2005. Results In 5529 malignant tumor patents, the hospital infection rate was 6. 16%. The respiratory infection occupied the highest constituent ratio, in which the upper respiratory tract infection was 25.72% and lower tract infection 36.42%. The higher risk factors were aged patients, long-time hospitalization, chemotherapy or radiotherapy, long-term application of two or more antibiotics, and invasive operation etc. Conclusion To reduce hospitalization time, to enhance immunity, and to strengthen respiratory tract nursing, is main measures to reduce the hospital infection.