老年患者医院感染相关因素的分析

Analysis of the Related Factors with Nosocomial Infection of Elderly Patients

为提升老年患者的医疗质量,提高医院感染的诊治与预防,对613例60岁以上老年患者医院感染情况进行了回顾性分析。结果发现120例在医院住院的感染病例,感染率高达19.6%。被感染患者中,患有恶性肿瘤、慢性支气管炎、脑血管意外、肺心病、糖尿病或者肺气肿的患者以及长期卧床患者占大多数。在这120例被感染病例中,呼吸道感染占52.5%;泌尿系统感染占21.6%;胃肠道感染占14.2%;其他类型感染占11.7%。根据病例相关性分析,我们有理由相信老年患者发病率与年龄、季节、住院时间、免疫功能低下以及原发病疾病等多种因素有关。

In order to improve the quality of medical care for elderly inpatients and prevent nosocomial infection from these people, the clinical data of 613 cases of elderly inpatients were analyzed. Among these inpatients, 120 patients were diagnosed with nosocomial infection. The infection rate is 19.6%. The results indicate that patients with malignant tumor, chronic bronchitis, cerebrovascular accident, pulmonary heart disease, diabetes or emphysema are liable to get infection. Among the 120 infected patients, 52.5% are respiratory tract infection; 21.6% are urinary tract infection; 14. 2 are alimentary infection; 11.7% are other infections. Based on the analysis of these infection cases, we believe that the infection rate of elderly patients is highly related with age, season, staying time in hospital, immunitive function and primary affection.