住院肺癌患者医院感染分析

• 作 者: 彭林 李博 任光国 沈廷希 饶建章 佘纯玲 唐小海
• 机 构: 四川省肿瘤医院外科
• 出 处: 四川肿瘤防治
• 发表日期: 1996年02期
• 关键词: 医院感染分析 肺癌 医院感染 放疗者 呼吸道感染 泌尿道感染 化疗者 胸腔感染 革兰氏阴性杆菌 切口感染 感染例次

调查１９９３年１月─１９９４年１０月４２０例肺癌住院病例，发生４６例次医院感染，总发病率为１１％，其中接受化疗者占６１％，接受放疗者占１９．５％，接受手术者占１９．５％。呼吸道感染占８０．４％，败血症占６．５％，泌尿道感染占４．３％，胸腔感染占４．３％，切口感染占２．２％，皮肤感染占２．２％。因医院感染死亡患者人数占住院肺癌患者死亡总数的９．２％。病原菌中以绿脓杆菌、大肠杆菌、链球菌、金葡菌常见，念珠菌和细菌Ｌ型感染呈上升趋势。

Investigating 420 cases of lung cancer hospitalized in January 1993-October 1994, 46 cases of nosocomial infection occurred, with a total incidence rate of 11%. Among them, 61% received chemotherapy and 19.5% received radiation therapy. 19.5%. Respiratory tract infection accounted for 80.4%, sepsis accounted for 6.5%, urinary tract infection accounted for 4.3%, chest infection accounted for 4.3%, incision infection accounted for 2.2%, and skin infection accounted for 2.2%. The number of deaths due to nosocomial infections accounted for 9.2% of the total deaths of hospitalized lung cancer patients. Pathogens were common with Pseudomonas aeruginosa, E. coli, Streptococcus, and Staphylococcus aureus, and Candida and bacterial L-type infections were on the rise.