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目的了解老年住院患者呼吸道感染的现患率及其危险因素,提出有效管理措施。方法采用横断面调查的方法,对齐鲁医院2007年8月22日老年病房全部住院患者进行调查。结果调查住院患者120人,发生医院感染10例,医院感染现患率为8.3%;其中呼吸道感染8例,构成比为80%,在医院感染中占首位。120例病人中,抗生素使用率为38.3%;采用两种抗生素联合使用者占34.8%。在老年病人中,卧床病人多、患基础病的多、实施气管机械性操作的多和使用抗生素的多。结论老年住院病人属于医院感染高发人群,构成医院感染因素较多,以呼吸道感染为主。
Objective To understand the prevalence and risk factors of respiratory tract infections in elderly inpatients and to put forward effective management measures. Methods A cross-sectional investigation was conducted to investigate all hospitalized patients in Qilu Hospital on August 22, 2007. Results Inpatients were investigated in 120 cases, nosocomial infection occurred in 10 cases, the prevalence of hospital infection was 8.3%; of which 8 cases of respiratory infections, the constituent ratio of 80%, accounting for the first place in the hospital infection. Among the 120 patients, the antibiotic use rate was 38.3%; the combination of the two antibiotics accounted for 34.8%. In elderly patients, many bedridden patients suffering from basic disease, the implementation of tracheal mechanical operation and the use of antibiotics and more. Conclusion Elderly hospitalized patients belong to the high incidence of nosocomial infection, causing more hospital infection and respiratory infections.