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目的了解老年患者下呼吸道医院感染情况,探讨预防与控制有效措施。方法采用资料调查方法 ,对老年患者下呼吸道感染现状及危险因素进行了调查。结果该医院3 350例年龄在65以上岁老年患者中,发生医院感染238例,医院感染发病率为7.10%;其中下呼吸道感染135例,占56.72%。发生下呼吸道感染的老年患者均患有各种慢性基础疾病,痰培养病原菌以革兰阴性杆菌为主,占57.89%。结论老年病人下呼吸道医院感染发病率比较高,年老体弱和慢性基础病是医院感染高发的主要因素。
Objective To understand the prevalence of nosocomial lower respiratory tract infection in elderly patients and to explore effective measures for prevention and control. Methods Data survey methods were used to investigate the status and risk factors of lower respiratory tract infection in elderly patients. Results Among 3 350 elderly patients aged over 65 years old, 238 cases of nosocomial infection and 7.10% of nosocomial infections were found in this hospital. Among them, 135 cases were lower respiratory tract infection, accounting for 56.72%. Elderly patients with lower respiratory tract infection are suffering from a variety of chronic diseases, sputum culture-based pathogens to Gram-negative bacilli, accounting for 57.89%. Conclusions The incidence of nosocomial lower respiratory tract infection in elderly patients is relatively high. The elderly and infirm and chronic basic diseases are the main factors of high nosocomial infection.