标准操作规程在控制老年精神病患者医院呼吸道感染中的作用

Role of standard operating procedures in control of respiratory tract infections in elderly patients with mental diseases

目的研究老年精神病患者医院呼吸道感染危险因素,探讨有效的预防医院感染标准操作规程。方法对2009年1月-2010年12月入住老年精神科≥60岁患者进行目标性监测,针对老年精神病患者医院呼吸道感染相关危险因素,制定预防医院感染标准操作规程并严格实施。结果 2009年1410例老年精神病患者中发生医院呼吸道感染42例,感染率为2.98%;2010年1278例老年精神病患者中发生医院呼吸道感染26例,感染率为2.03%;住院时间长、年龄大、原发疾病基础上合并其他疾病是其医院感染重要危险因素。结论老年精神病患者医院感染危险因素多,预防医院感染标准操作规程能有效降低医院呼吸道感染的发生。

OBJECTIVE To study the risk factors of respiratory tract infections in elderly patients of psychiatric hospital,and explore effective standard operating procedures to prevent nosocomial infection. METHODS From Jan 2009 to Dec 2010,targeted surveillance of elderly patients（≥60 years） of with respiratory tract infection were investigated to prevent nosocomial infection and the countermeasures were strictly implemented. RESULTS In 2009,of 1410 aged patients with mental health diseases,42 patients occurred in respiratory tract infection（2.98%）;in 2010,1278 people aged mental hospital patients with respiratory tract infection occurred in 26patients（2.03%）;long hospital stay,older age and the basis of primary diseases combined with other diseases were important risk factors for infection in their hospitals. CONCLUSION Geriatric psychiatry has many risk factors of nosocomial infection.So prevention of hospital infection hospital standard operating procedures can effectively reduce the incidence of respiratory tract infection.