肿瘤专科医院医院感染相关因素分析

Correlative Factors for Nosocomial Infection in Tumor Hospital

目的探讨肿瘤专科医院医院感染相关因素及预防措施。方法对2009年1-12月发生的631例医院感染患者的临床资料,进行回顾性调查分析。结果肿瘤专科医院的医院感染以恶性肿瘤患者为主(95.09%),多见于肺癌(17.06%);年龄≥60岁者占44.53%;医院感染部位以呼吸系统为主;革兰阴性菌(41.02%)及真菌(40.80%)为主要病原菌;放疗、化疗、侵入性操作、抗菌药物及激素应用与医院感染密切相关。结论充分重视上述相关因素,加强医院感染管理,采取有效预防措施,以减少医院感染发生。

OBJECTIVE To probe into the correlative factors and prevention measures of nosocomial infection in tumor hospital. METHODS The clinical data of 631 hospitalized patients with nosocomial infection were retrospectively analyzed from Jan to Dec in 2009. RESULTS Nosocomial infection in tumor hospital occurred mainly in patients with malignant tumor （95.09%）, especially in patients with lung cancer（17.06%）. 44.53% were above 60 years old. The main location of infection was respiratory tract. G bacteria （41.02%） and fungi （40. 80%） were the major pathogens. The occurrence of nosocomial infection was closely related with radiotherapy, chemotherapy, invasive operation, application of antibiotics and hormones. CONCLUSION All correlative factors mentioned above should be considered seriously, strengthening the nosocomial infection management and taking precautions in advance to reduce the incidence of nosocomial infection.