消化内科患者医院感染的临床分析

目的分析消化内科医院感染情况的发生原因及防治措施。方法对134例消化内科患者的临床感染情况进行回顾性分析。结果老年患者是医院感染的易感人群,住院时间越长,感染几率越高(64.9%);易感的主要因素是患者具有消化道肿瘤、消化道出血、肝硬化;容易感染的部位主要在呼吸系统,其次为胃肠道、泌尿道;感染的细菌主要是革兰氏阴性杆菌(87.2%),其中以铜绿假单胞菌最为常见。结论严格的无菌操作,保护易感人群,合理使用抗生素,积极治疗感染患者的原发病,有助于预防控制消化内科医院感染的发生。

Objective To analyze the reason of hospital infection situation of digestive diseases and the prevention measures. Methods Clinical data of 134 patients with digestive diseases were retrospectively analyzed. Results Elderly patients are susceptible to hospital infection （64.9%）. The longer the hospitalization time is, the higher the risk of infection. The main susceptible factors is digestive tract tumors, gastrointestinal bleeding, liver cirrhosis. The main susceptible site is respiratory system, gastrointestinal tract, urinary tract. The infected bacteria is mainly gram- negative bacilli （87.2%）, of which pseudomonas aeruginosa is the most common. Conclusion It can help to prevent the occurrence of hospital infection of digestive diseases that strict aseptic operation, the protection of vulnerable groups, the rational use of antibiotics and active treatment of primary disease in infection patients.