老年痴呆患者发生院内感染因素分析

Analysis of Nosocomial Infection in Senile Dementia

目的探析老年痴呆患者发生院内感染的临床因素。方法2016年1月~2016年12期间,我院共收治老年痴呆患者71例,其中发生院内感染患者共计32例,归入观察组;未发生院内感染者39例,归入对照组。对两组患者的临床资料进行分析对比,以了解其出现院内感染的相关因素。结果由本次研究可知,在诸多院内感染中,尤以呼吸道感染的发生率最高,其次则为泌尿系统感染与皮肤软组织感染,胃肠道感染相对较少。通过对两组患者临床资料进行对比可知,对照组患者在年龄上普遍低于观察组,在抗生素使用时间上少于观察组,并且抗生素连用的病例亦少于观察,在侵袭操作上更少,在住院时间上普遍较短,上述差异均十分显著(P<0.05)。结论年龄过大、住院时间过长、侵袭操作过多以及抗生素使用过多过久均是导致患者发生院内感染的主要因素。

Objectivc To discuss the clinical factors of nosocomial infection in senile dementia patients. Methods Seven-ty-one cases of patients with senile dementia in our hospital from January 2016 to December 2016 were collected as subjects. Among them, a total of 32 cases of nosocomial infection were regarded as the experimental group, 39 cases without nosocomi-al infection were regarded as the control group. The clinical data of the two groups were analyzed and compared to understand the related factors of nosocomial infection. Results From this study, we could see that the incidence of respiratory tract infec-tion is the highest among many nosocomial infections, followed by urinary tract infection and skin soft tissue infection, and the gastrointestinal infection is relatively few. By comparing the clinical data of the two groups, the patients in the control group were generally younger than the experimental group in age. Both antibiotic therapeutic time and case, invasive operations and hospital stays in control group were all less than the experimental group. Conclusion Agey prolonged hospitalization, exces-sive invasive operation and excessive use of antibiotics were the main factors leading to nosocomial infection.