高龄髋部骨折院内肺部感染危险因素的预防控制

Risk Factors of Hospital Acquired Pneumonia in Elderly Patients with Hip Fracture:Invesitgation and Prevention

目的探讨高龄(≥80岁)髋部骨折院内肺部感染的危险因素,以采取有效的预防控制措施。方法回顾性分析2004年1月-2007年1月119例手术治疗的高龄髋部骨折患者的相关临床资料。结果高龄髋部骨折院内肺部感染36例,感染率30.25%;院内肺部感染死亡7例,死亡率19.44%;高龄、侵入性操作、滥用抗菌药物、原有基础疾病等是院内肺部感染的危险因素。结论加强环境管理和感染监控,严格洗手制度,合理使用抗菌药物,积极治疗基础疾病是降低高龄髋部骨折院内肺部感染的有效措施。

OBJECTIVE To explore the risk factors of lung infection in eldly paitents with hip fracture （≥80 years）. METHODS A total of 119 cases of hip fracture treating with surgery from Jan 2004 to Jan 2007 were analyzed retrospectively. RESULTS There were 36 cases of hospital lung infection （infection rate of 30.25%） and 7 death cases （19.44%）. It was found that senior age, invasive operation, abuse of antibiotics and previous history involved were the main factors causing hospital lung infection. CONCLUSIONS The effective measures to reduce hospital lung infection among elderly patients with hip fracture include environment management and infection monitoring, strictly hand-washing, cross-infection prevention, rational antibiotics usage and active treatment of underlying diseases.