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目的调查老年患者医院感染状态,为提高老年患者医院感染管理水平降低医院感染发生率提供依据。方法对2006年至2008年老年住院患者发生医院感染的临床资料进行回顾性分析。结果医院感染发生率为7.9%(95/1206)。排在前3位者分别为呼吸道感染、泌尿道感染及消化道感染。危险因素包括:长期卧床、留置导尿管、使用呼吸机、应用免疫制剂及激素。结论预防留置导尿管、呼吸机管道感染,做好长期卧床患者的护理,严格抗生素Ⅲ级使用制度是预防医院感染的有效措施。
Objective To investigate the status of nosocomial infection in elderly patients and provide basis for improving the management of nosocomial infections in elderly patients and reducing the incidence of nosocomial infections. Methods The clinical data of hospitalized patients with senile inpatients from 2006 to 2008 were analyzed retrospectively. Results The incidence of nosocomial infection was 7.9% (95/1206). The top three were respiratory infections, urinary tract infections and gastrointestinal infections. Risk factors include: prolonged bed rest, indwelling catheters, use of ventilator, application of immunosuppressants and hormones. Conclusion Prevention of catheter indwelling catheter, ventilator pipe infection, long-term bedridden patients to do care, strict antibiotic grade Ⅲ use system is an effective measure to prevent nosocomial infections.