老年患者并发真菌性医院感染危险因素分析

Risk factors for nosocomial fungi infection in elder patients

①目的探讨老年患者真菌性医院感染的危险因素,以制定有效的防控措施。②方法采用回顾性调查方法,对2011年1月～2013年12月在我院干部病房住院的≥60岁老年患者进行调查,对其中合并真菌感染的32例患者的临床资料进行分析,探讨其危险因素。③结果患有严重基础疾病、低蛋白血症、住院时间长、长期应用广谱抗菌药物、有侵袭性操作及应用皮质激素等因素是老年患者发生医院真菌感染的主要危险因素;感染部位以下呼吸道最多。④结论老年患者易发生医院真菌感染,在积极治疗原发病的基础上,提高其免疫力、减少侵袭性操作、合理使用抗生素是预防控制真菌感染的关键。

Objective To analyze the risk factors for Nosocomial fungi Infection in elder patients. So as to make effective prevention and control measures.Methods The retrospective analysis was performed on the clinical date of 32 patients with fungi infection over 60 years old in cadre ward from January 2011 to December 2013.We investigated the incidence rate of NI and the risk factors of NI.Results The main risk factors for elderly patients with fungal infection were severe underlying diseases, hypoalbuminemia, length of hospital stay, long term antimicrobial application, indwelling urethral catheter and Corticosteroids. The main infected sites were the lower respiratory tract.Conclusion Old patients are susceptible to respiratory fungi infection, on the basis Of treating underlying diseases, the key to prevent and control fungi infection is reducing invasive operation, enhancing immunity and reasonable using of antibiotics.