放化疗患者院内感染状况分析及应对措施.docVIP

精品论文 参考文献 放化疗患者院内感染状况分析及应对措施 张露（四川仪陇县人民医院，院感科，南充 637600） 　　【摘要】 目的:调查医院内放化疗患者院感染状况并提出相应的干预措施。方法:回顾分析1196例医院内放化疗患者的医院感染率、感染部位、致病菌分布特征。结果:1196例医院内放化疗患者中，院感发生患者123例，总感染率为10.3%(123/1196)。排名第一位及第二位的肺癌和食管癌医院感染率分别为18.7%（52/123）和17.4%（31/123）。主要的感染部位包括呼吸道33.3%（41/123）,胃肠道22.0%（27/123）。革兰氏阴性杆菌以肺炎克雷伯杆菌和大肠埃希菌为主,分别占18.7（23/123）和15.4%（19/123），革兰阳性菌以金黄色葡萄球菌和凝固酶阴性葡萄球菌为主,分别占11.4%（14/123）和6.5%（8/123）。真菌感染占7.3%（9/123）。结论:医护人员应提高对放化疗患者的院感认识，加强对医院感染监测,努力降低医院感染率,提高患者的生活质量。 　　【关键词】 肿瘤患者;放疗;化疗;医院感染【中图分类号】 R2 【文献标号】 A 【文章编号】 2095-7165(2015)16-0207-01Put the infection status analysis and Countermeasures in hospital patients withchemotherapy.Zhanglu（Sichuan peoples Hospital of Yilong County，Hospital Infection-Control Department，Nanchong，637600）[Abstract] objective: Investigation of nosocomial infection in patients in hospital chemotherapy put status and put forward the corresponding interventionmeasures. Methods: retrospective analysis of the infection rate, the infection sites, pathogens distribution characteristics of 1196 cases of nosocomialchemotherapy patients in hospital. Results: 1196 cases of nosocomial chemotherapy patients, nosocomial infection occurred in 123 patients, the totalinfection rate was 10.3% (123/1196). Ranked first and two of lung cancer and esophageal cancer hospital infection rates were 18.7% (52/123) and 17.4%(31/123). The main infection sites including the respiratory tract, gastrointestinal tract 33.3% (41/123) 22% (27/123). Gram negative bacillus Klebsiellapneumoniae and Escherichia coli, respectively accounted for 18.7 (23/123) and 15.4% (19/123), gram positive bacteria Staphylococcus aureus andcoagulase negative staphylococci, accounted for 11.4% (14/123) and 6.5% (8/123). Fungal infection was 7.3% (9/123).Conclusion: medical workers shouldimprove to the chemotherapy patients with nosocomial understanding, strengthen the monitoring of hospital infection, efforts to reduce the rate of hospitalinfection, improve the quality of life of patients.[keyword] cancer p