医院感染易感因素调查分析与预防对策

Susceptible Factors of Nosocomial Infection: An Investigation and Analysis

目的 了解多因素引起医院感染的相关性状况及预防对策。方法 对 5所市级医院同期住院患者有或无相关因素的患者 ,引起医院感染的状况进行对比研究。结果 <2岁和 >6 0岁组与 2～ 6 0岁组比较 ,泌尿道插管组与未插管组、使用呼吸机组与未使用呼吸机组、行气管切开组与未行气管切开组、用激素组与未用激素组对比 ,前者均与医院感染增高密切相关 ,而动静脉插管组与未插管组、放化疗组与未进行放化疗组及患者性别与医院感染均无相关性。结论 年龄、导尿、呼吸机应用、气管切开、大剂量激素均与医院感染增高密切相关 ,而动静脉插管、放化疗及患者性别与医院感染无相关性 ,有的感染可能与本身存在的基础疾病有关。

OBJECTIVE To study the associated factors, the methods of prevention and treatment of nosocomial infection. METHODS The associated factors of inpatients′ nosocomial infection in 5 hospitals of Hangzhou were compared. RESULTS The patient′s age of more than 60 years or less than 2 years, urethra insertion, mechanical ventilation, bronchotomy and large dose dexamethasone were associated factors for nosocomial infection. CONCLUSIONS The age, urethra insertion, mechanical ventilation,bronchotomy and large dose dexamethasone were the susceptible factors for nosocomial infection.