老年病医院卧床老人的院内感染情况分析

Nosocomial infection analysis of bedridden elderly patients in geriatrics hospital

目的研究老年病医院医院感染的流行病学特征,为临床医院感染的控制及临床治疗提供依据。方法采用回顾性调查方法,对笔者所在医院2010年1～12月约250名入住的卧床老人的院内感染情况进行分析与评价。结果医院卧床老人感染发生率为6.3%～19.6%。其中,以冬季为高发,均在10%以上。感染以呼吸道感染为高发,尤其是下呼吸道感染占首位,其次是上呼吸道感染和泌尿系感染。院内感染前4位病菌依次为铜绿假单胞菌、金黄色葡萄球菌、大肠埃希菌、鲍曼不动杆菌。结论应针对老年人特点,治疗院内感染。加强老年病医院老人,尤其是卧床老人院内感染的防控工作尤其重要。

Objective To study the epidemiological characteristics of the geriatrics hospital infection, and make scientific judgment about control and clinical treatment for clinical hospital infection. Methods The hospital infection cases of about 250 bedridden elderly patients in geriatrics hospital during from January 2010 to December 2010 were retrospectively analyzed and evaluated. Results The hospital infection rate of the beridden elderly patients in our hospital was about 6.3% to 19.6%.There was a high incidence in winter with the infection rate being more than 10%. The high incidence infection was the respiratory tract infection, lower respiratory tract infection occupied first place and was followed by upper respiratory tract infection and urinary system infection. The first four hospital infection germs were Pseudomonas aeruginosa, Staphylococcus aureus, Escherichia coli and Acinetobacter baumannii. Conclusion The hospital infection should be treated according to the aged character. Strengthening the hospital infection prevention of the aged especially bedridden elderly patients in geriatrics hospital is especially important.