老年患者医院感染危险因素分析

Risk Factors of Nosocomial Infection in Elderly Patients

目的了解干部病房老年患者医院感染发生情况,探讨其危险因素及控制方法。方法采用回顾性方法对1194例≥60岁的患者进行回顾性调查。结果干部病房老年患者医院感染率为10.30%,感染部位以下呼吸道为主占54.47%,其次为胃肠道与泌尿道,分别占17.89%、14.63%;菌群分布以铜绿假单胞菌、肺炎克雷伯菌、白色假丝酵母菌占前3位;感染发生与年龄、住院时间、基础疾病、使用广谱抗菌药物及侵入性操作等因素相关。结论老年患者医院感染发生率高,应积极治疗原发病,控制相关危险因素,有效减少医院感染的发生。

OBJECTIVE To understand the circumstances of nosocomial infection among the elderly patients in cadre unit and explore the risk factors and the control measures.METHODS The clinical data of 1194 cases of patients above 60 were retrospectively investigated.RESULTS Among the elderly patients in cadre ward,the rate of nosocomial infection was 10.30%.the main site of infection was lower respiratory tract accounted for 54.47%,followed by the gastrointestinal tract and urinary tract accounted for 17.89% and 14.63%,respectively.Flora distribution of Pseudomonas aeruginosa,Klebsiella pneumoniae and Candida albicans,occupied the top three.The infection occurrance was related to such factors like age,the time of hospitalization,underlying diseases,the use of broad-spectrum antibiotics and invasive operations and so on.CONCLUSION Elderly patients have a high incidence of nosocomial infection.Primary disease should be actively treated,the related risk factors should be controlled to effectively reduce the incidence of nosocomial infection.