老年住院患者医院感染监测与控制

Hospital Infection among Senile Hospitalized Patients: Supervision and Control

目的 了解老年患者医院感染变化趋势 ,制定有效控制措施 ,降低感染发生率。方法 对我院近 3年 >6 0岁住院患者 1370 8例 ,采取前瞻性监测并结合回顾性调查。结果 发生医院感染 6 30例 ,平均感染发生率4 6 0 % ;感染例次 4 91例 ,平均感染例次率 5 0 4 % ;感染的主要部位是呼吸道 ,其次是泌尿道和胃肠道 ;感染主要病原菌是真菌。结论 开展前瞻性监测可有效降低外源性感染 。

OBJECTIVE To supervise and control the hospital infection among senile hospitalized patients so as to take effective control measures to reduce infectious occurrences and enhance medical treatment level. METHODS A 3-year retrospective observation as well as prospective investigation of 13 708 senile hospitalized cases aged over 60 years old in our hospital were adopted. RESULTS A total of 630 cases of hospital infection occurred, average infection rate was 4.6%, Major infectious parts were respiratory tract, urinary tract and gastrointestinal tract. The main infectious pathogen was fungi. CONCLUSIONS Supervision helps reduce extrinsic infection and intrinsic infection to the lowest.