住院老年患者医院感染调查分析及对策.pdfVIP

· 168 · 四川医学2008年2月第29卷(第2期) SichuanMedical Journal，2O08，Vo1．29，No．2 论著 住院老年患者医院感染调查分析及对策 张钦芳，吴海燕△，张安琴 (四川省人民医院干部科，四川成都610072) 【摘要】 目的 探讨降低住院老年患者医院感染率的对策。方法 对我院9484例60岁的住院老年患者临床资 料进行回顾性调查分析。结果 老年患者医院感染部位主要为下呼吸道(34．64％)、泌尿道(22．89％)和胃肠道 (19．43％)；菌群组成以革兰阴性杆菌为主(镐．22％)，革兰阳性球菌次之(28．61％)。干部科医院感染发生率，发生医院 感染的老年患者病死率，住院时间和住院费用均明显高于普通内科(P0．01)。结论 老年患者为医院感染的易感人 群，应采取有效的措施以降低其感染率和病死率。 【关键词】住院老年患者；医院感染；调查分析；对策 【中图分类号】 R473．5 【文献标识码】 A 【文章编号】 1004-0501(2008)02—0168—03 Inv~ aaon anatysis and eotmte~ of hospital acqutrea infection in elder in-lmlients．ZHANG qin-f,~g，WU Hab yah，ZHANGAn-qin．Sichuan Provincial ’s Hospital， ，Sichuan 610072，China to reduce the incidence of hospital acquired infection in elder in-pa- tients．Methods To retrospective investigate and ana1yse the clinical data of9484 elder in-patients whose ages were above 60 years：Re— suits The main part of hospital acquired infection in elder in-patients were lower respiratory tracts(34．54％)，urinary tract(22．89％) and gastrointestinaltract(19．43％)．The main flora was gram-nega~ve bacilli(镐．22％)and the seo0ndary Was gram-positive cocci (28．61％)．The incidence of hos~tal aoquired infection，the mortality of elder pa~ents who suffering from hos~tal acquired infetion， time of stayin hospitaland costsof elderin-patientsin cadre’swardswere obviously higherthanthosein commonIrledi department(P 0．O1)．Coneinsion The elder in-patients were 1-／ sh fidelity crowd of hospital acquired infection．It must be to take effective meAlSil~一 merit to reduce the incidence and mortality of hospital acquired infection． 【Key words】 elder patients；hos~tal acquired inf