某医院血液系统疾病医院感染发生现状调查

INVESTIGATION ON HOSPITAL INFECTION STATUS OF HEMATOLOGICAL SYSTEM DISEASES

目的了解住院血液系统疾病患者医院感染的发生现状,以便采取有效防控措施。方法通过回顾性方法,对某医院血液科2011年度住院患者医院感染及相关因素进行调查与分析。结果该医院血液科2011年度共调查住院病人2 681例,发生医院感染57例、62例次,感染率为2.13%、例次感染率为2.31%。57例医院感染患者原发病居前3位的是急性白血病、慢性白血病和多发性骨髓瘤。下呼吸道感染占43.54%,其次是血液感染占24.19%。感染的病原菌比例较高的是表皮葡萄球菌和人型葡萄球菌。结论在血液系统疾病患者中,患有恶性肿瘤的病人最容易发生医院感染,致病菌以革兰阳性球菌为优势菌。

Objective To investigate the hospital infection status of hematological system diseases, so as to take effective contol measure. Methods Retrospective investigation was used to survey and analyze the hospital infection of hospitalized patients in hematology department in 2011. Results There were 2 681 cases of hospitalized patients in hematology depart- ment in 2011, 57 patients had hospital infection with 62 cases. The incidence rate was 2. 13%, case incidence rate was 2. 31%. Acute leukemia, chronic leukemia and multiple myeloma were the front three common protopathy. The prevalence rate of lower respiratory infection and blood infection were 43.54% and 24. 19%. The Staphylococcus epidermidis and Staphylococcus Humanoid were common pathogenic bacteria. Conclusions In blood system diseases, patients with malig- nant tumor are most susceptible to hospital infection. The common pathogenic bacteria is Gram positive coccus.