恶性肿瘤医院感染1678例分析

Nosocomial Infection in 1678 Malignant Tumor Cases

目的了解恶性肿瘤患者医院感染特点,降低恶性肿瘤患者医院感染发生率。方法对凉山彝族自治州第一人民医院长安分院2009-07/2010-10肿瘤科所发生的医院感染采取前瞻性与回顾性调查相结合的方法。结果 1 678例恶性肿瘤患者,发生医院感染103例,感染率6.14%;好发部位多见于呼吸道,其次是泌尿道和胃肠道;主要病原菌是白色念珠菌。结论加强病房管理,严格执行消毒隔离制度,提高机体免疫力,控制内源性感染,是预防与控制恶性肿瘤患者感染的主要措施。

Objective To understand the characteristics of nosocomial infection in malignant tumor patients,and provide evidence to reduce the incidence of nosocomial infection in those patients.Methods The prospective/retrospective analysis was conducted on the incidence of nosocomial infection in the malignant patients in the Frist People＇s Hospital of Liangshan Autonomous Prefecture from July 2009 to October 2010.Results Among 1 678 malignant tumor patients,103 nosocomial infection cases occurred,the infection rate was 6.14%.The predilection sites included respiratory tract,urinary tract and gastrointestinal tract.Candida albicans was the major pathogen.Conclusion It is necessary to strengthen the management of ward,disinfection and isolation of the patients,improve patients＇ immunity and control autogenous infection to reduce the incidence of nosocomial infection.