肺部肿瘤患者医院感染率调查分析

Investigation and analysis on nosocomial infections in lung oncology department

目的了解肺部肿瘤患者医院感染状况,以预防与降低肺部肿瘤患者医院感染的发生。方法对2010年1月-2013年7月14 741例肺部肿瘤患者的医院感染率、感染例次率、感染部位分布等进行统计、分析,采用SPSS17.0统计软件对数据进行处理。结果 14 741例肺部肿瘤患者发生医院感染265例、292例次,感染率1.80%、例次感染率1.98%,各年度医院感染率比较,差异无统计学意义;感染部位前5位为下呼吸道、泌尿道、留置尿管相关、血液、器官腔隙,分别占59.93%、21.92%、6.17%、3.77%、3.43%;肺部肿瘤患者留置尿管使用率0.77%,各年度留置尿管使用率比较,差异无统计学意义。结论加强肺部肿瘤患者下呼吸道感染的相关预防与控制,减少留置尿管等有创操作,降低医院感染率。

OBJECTIVE To investigate the status of nosocomial infections so as to prevent and reduce nosocomial infection prevalence in patients with lung tumor .METHODS Totally 1 4741 patients with lung tumor from Jan . 2010 to Jul .2013 were investigated and analyzed for nosocomial infection rates ,case rates and the distribution of infection sites .Data were processed with SPSS 17 .0 statistical software .RESULTS In the 14741 patients with lung tumor ,there were 265 cases of nosocomial infections and 292 case times ,the infection rate was 1 .80% ,and the case-time infection rate was 1 .98% .There was no significant difference in the nosocomial infection rate in each year .The top five infection sites were respiratory tract infection（59 .93% ） ,urinary tract infection（21 .92% ） , catheter related urinary tract infection（6 .17% ） ,sepsis（3 .77% ） ,organ cavities infection（3 .43% ） .The use rate of urinary catheter in patients with lung tumor was 0 .77% ,with no significant difference in the catheter use rate in each year . CONCLUSIONS The prevention and control measures must be strengthened in lung oncology department .Invasive procedures such as urinary catheterization must be reduced , in order to reduce the nosocomial infection rate .