309例死亡病例医院感染分析.PDFVIP

2007 17 9 # 1091 # # # 309 林 臻, 朱小东, 刘 钒, 王 萍 (, 530021) : , 2004- 2005 309 309 , 64 72 , 20.71%23.30%, 5. 85 ,48, 75. 00%;6463.94 d, (29. 21d) 34.73 d; ( P 0.01) ;, (P 0.05) ;; 57 18 - + G 13 G 11 , , ,,, : ; ; + : R181. 3 2 : A : 1005-4529(2007)09-1091-03 Nosocomial Infection in 309 Dead Cases LIN Zhen, Z U Xiao-dong, LIU Fan, WANG Ping ( Cancer H osp i tal Af f i l iated to Guang x i M e d ic al Univ e rs i ty , N ann i ng , Guangx i 530021, Ch ina) Abstract: OBJECTIVE To analyze the nosocomial infections among dead cases with cancer and explore the relationship between death and nosocomial infections. METHOD T otally 309 dead cases with cancer were investigated and analyzed in 2004-2005. RE ULT From them 64 with 72 times accompanied by nosocomial infections (20. 71%, 23. 30%) , the rate was 5. 85 times higher than the total nosocomial infection rate in the hospital. Of 64 cases with nosocomial infections, 48 (75%) were led to death directly by nosocomial infections. The average hospitalization time of these 64 dead cases with nosocomial infections was 63. 94 days, which was 20.98 days longer than the whole averagehospitalization time (29.21days). Cases with tumors related to immune system were more often accompanied by nosocomial infections than with other tumors ( P 0. 01), same tendency could be seen in cases who had received radiotherapy and chemotherapy. Lower respiratory tract infections were most common in nosocomial infections. Of 57 detected samples, 18 wer