化疗患者医院感染危险因素的调查与分析

Related factors of nosocomial infections in chemotherapy patients

目的:分析化疗患者医院感染发生的危险因素,为减少医院感染提供依据。方法:回顾性分析2013年1月至2016年12月收治的1032例化疗患者的相关资料,重点调查医院感染相关危险因素,并对调查结果进行分析。结果:住院化疗患者医院感染发生率为13.86%(143/1032),90例病原菌培养阳性,分离出病原微生物105株。侵入性操作、中性粒细胞计数、住院天数、使用激素、糖尿病、年龄等因素是化疗患者医院感染的危险因素。结论:临床实践中应采取综合措施加强对存在年龄较大、糖尿患者、住院时间较长、使用激素、有侵入性操作、粒细胞减少等危险因素化疗患者的医院感染防控。

[Objective]To analyze the risk factors of nosocomial infection in chemotherapy patients and provide basis for reducing nosocomial infection. [Method]A retrospective study which Focus on the investigation of hospital infection related risk factors was conducted between January 2013 and December 2016 in 143 patients with nosocomial infection chemotherapy and 889 control cases. [Result]he incidence of nosocomial infection was 13. 86%. 90 cases of pathogenic bacteria culture were positive. 105 pathogenic microorganisms were isolated. Factors such as invasive operation,neutrophil count,length of hospital stay,the use of hormones,diabetes,age were associated with nosocomial infection. [Conclusion]Integrative measures should be taken to strengthen the prevention and control of nosocomial infections in patients with risk factors such as older patients,diabetic patients,longer hospital stays,using of hormones,invasive procedures and neutropenia.