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目的分析探讨恶性肿瘤患者放化疗后医院感染特点,为降低恶性肿瘤患者的医院感染率提供依据。方法 269例恶性肿瘤放化疗后患者的临床资料,分析患者的一般临床症状、接受的诊断及治疗情况、发生医院感染的时间以及部位、所感染的病原菌的种类以及抗菌药物的使用情况,并做整理归纳分析。结果 269例患者57例并发医院感染,感染率为21.19%;感染部位以呼吸道感染为主,为47.37%,医院感染率与患者体内的白细胞数呈负性相关性。结论恶性肿瘤放疗、化疗后骨髓抑制,机体免疫力下降,易导致医院感染,必须加强医院感染的管理,控制易感因素。
Objective To analyze the characteristics of nosocomial infections after radiotherapy and chemotherapy in patients with malignant tumors and provide basis for reducing the nosocomial infection rate in patients with malignant tumors. Methods The clinical data of 269 patients with malignant tumor treated with radiotherapy and chemotherapy were analyzed. The general clinical symptoms, diagnosis and treatment of patients, time of nosocomial infection and the location of the nosocomial infection, the types of pathogens and the use of antibacterials were analyzed. Organize and analyze. Results Among 269 patients, 57 cases were complicated with nosocomial infection, the infection rate was 21.19%. The main infection area was respiratory infection, accounting for 47.37%. The nosocomial infection rate was negatively correlated with the number of leukocytes in patients. Conclusions Radiotherapy of malignant tumors, myelosuppression after chemotherapy, decreased immunity, easily lead to nosocomial infections, we must strengthen the management of nosocomial infections and control the predisposing factors.