800例老年科住院患者医院感染的因素及防御控制措施分析.docVIP

800例老年科住院患者医院感染的因素及防御控制措施分析 　　[摘要] 目的 分析老年科住院患者医院医院感染的因素，探讨预防与控制策略。 方法 回顾性分析该院2014年1―12月老年科收治的住院患者临床资料，将其分为无医院感染、合并医院感染两组，针对影响感染的相关因素进行单因素分析和多元回归分析。结果 与无医院感染相比，62例合并医院感染患者在住院时间时间、病情康复状况、血红蛋白等统计指标，差异有统计学意义；通过实施单因素分析，得到糖尿病、肿瘤、营养不良、预防应用抗菌药物、住院时间、侵入性操作、使用糖皮质激素是引起医院感染的危险因素；实施多元回归分析显示导致医院感染的危险因素包括5个，分别是住院时间30 d、侵入性操作、营养不良、糖尿病、使用预防应用抗菌药物等。结论 诱发老年科住院患者产生医院感染的因素较多，需要严格制定预防措施，降低医院感染率。 　　[关键词] 老年；住院患者；医院感染；防御控制 　　[中图分类号] R197.3 [文献标识码] A [文章编号] 1674-0742（2015）06（c）-0036-03 　　[Abstract] Objective To analyze the factors of hospital infection in hospitalized elderly patients， and to evaluate the preventive and control strategies. Methods The clinical data of hospitalized patients admitted to the Geriatric Department of our hospital from January 2014 to December 2014 were retrospective analyzed and divided into non-nosocomial group and nosocomial infection group. Single-factor analysis and multiple regression analysis were done for the factors related to infection. Results Compared with those of the patients in the non-nosocomial group， there were statistically differences on the indicators including length of stay， rehabilitation， hemoglobin of the 62 patients in the nosocomial infection group. Single-factor analysis showed that diabetes mellitus， tumor， malnutrition， antimicrobial agents for the prevention， length of stay， invasive operation， the use of glucocorticoid were the risk factors of nosocomial infection and multiple regression analysis showed that there were five factors that related to the nosocomial infection， including the hospitalization time more than 30d， invasive operation， malnutrition， diabetes mellitus， the use of glucocorticoid，etc. Conclusion There are many factors that can induce nosocomial infection in inpatients in Geriatric Department， therefore it is needed to develop strictly the preventive measures so as to reduce the rate of hospital infection. 　　[Key words] Elderly； Inpatients； Nosocomial infection； Prevention and Control 　　随着我国社会的不断发展和进步