结核病医院感染危险因素探讨.PDFVIP

3·38 · Chin J Nosocomiol Vol. 13 No. 4 2003 ·论 　著· 结核病医院感染危险因素探讨 胡美芳 (浙江省青春医院 , 浙江 杭州 310020) 摘要 : 目的 　探讨结核病医院感染因素、病原菌发生原因 ,提出防治措施。方法 　对临床结核病 208 例进行回顾 性调查 ,综合分析其医院感染特点、发生原因。结果 　208 例结核患者中 , 医院感染发生率分别为 : Ⅱ型肺结核 28 54 % ,多脏器结核 25 % ,老年人结核 65 % ,合并糖尿病、低蛋白血症者医院感染发生率 ≥50 % 。结论 　老年结 核病、多脏器结核、结核病复治、合并低蛋白血症、糖尿病以及住院时间长是结核病医院感染危险因素。 关键词 : 结核病 ; 医院感染 ; 危险因素 中图分类号: R521 　　文献标识码 : A 　　文章编号 : (2003) Risk Factors in Nosocomial Infection Caused by Tuberculosis HU Meifang ( ) The Youth Hospital , Han gz hou 310020 , China Abstract : OBJECTIVE To study the risk factors in nosocomial infection of tuberculosis and pathogen etiology , and raise the measures for prevention and treatment. METHODS A total of 208 patients with tuberculosis were made a retrospec tively investigation. The features and etiology of nosocomial infection were analyzed. RESULTS In these 208 patients the incidence rate of nosocomial infection as following : type Ⅱtuberculosis 28. 54 % , multisystem tuberculosis 25 % , geriatric tuberculosis 65 % , tuberculosis with diabetes and hypoproteinemia infection rate is more than 50 %. CONCL U SIONS Nosocomial infection widely exist in those patients with geriatric tuberculosis , multisystem tuberculosis , repeti tive treatment , tuberculosis with hypoproteinemia , diabetes and the long duration stay in hospital as well. Key words : Tuberculosis ; Nosocomial infection ; Risk factor 　　结核病的化学疗法是控制结核病最主要的治疗 2 　结 　果 方法 ,而联合用药和持续治疗时间长是结核病治疗 2 . 1 　医院感染发生率 　近年来