2007 2009年血液科住院患者医院感染分析 word格式.docxVIP

2007-2009 年血液科住院患者医院感染分析研究生：古力巴旦木.艾则孜导师:哈力达.亚森 教授摘要目的:通过对血液科患者医院感染率进行分析,探讨血液病患者医院感染的特 点，引起医院感染的原因和危险因素，了解病原菌分布情况，为临床防治提供科学 依据。方法：对 2008 年-2009 年我院血液科住院的 2303 例患者中临床分离出病原菌的分布进行分析，与 2007 年感染情况进行比较。结果：分离阳性病原微生物共 220例。感染部位仍以呼吸道居首位，其次为血液、口腔、泌尿道等部位。其中，院内 感染的致病菌仍以革兰氏阴性杆菌为主,其次是革兰氏阳性菌,且其比例有上升趋 势。再次为真菌。但在不同的标本中革兰氏阴性菌、革兰氏阳性菌,真菌的检出率不 一。血培养及痰培养阳性率高为主。结论：血液病患者易发生医院感染，感染发生 率高，与多种危险因素有关。应采取综合性的治疗措施，有效降低医院感染的发生。关键词： 血液病; 医院感染; 病原菌分布Correlated factors of nosocomial Infection of Patients in Hematology Department 2007 - 2009Postgraduate: Gu li ba dan mu.ai ze zi Supervisor: Prof.Ha li da·ya senAbstractObjective: by analyzing the mobility of nosocomial infection of the patients in hematology department, we will investigation the nosocomial infection characters’ and reasons, risk factors from the Hematology department provide for effective preventive measures. Methods: Analysis the clinical distribution of isolation pathogen of the 2303 patients in hematologic unit of our isolates pathogens during from 2008 to 2009,and comparative with the nosocomial infection of 2007.Results:Among the total of 220 clinical isolates pathogens, The most common infection position of NI was respiratory tract ,next the blood ,mouth ,urinary tract. Gram-negative bacteria are still the most pathogen in our hematology department, secondly that is gram-positive bacteria, and the last one is fungus. Conclusion: The patients with Hematological Malignancies are easily susceptible to nosocomial infection. To boost body, defenses and control the risk factors are effective methods to prevent nosocomial infection of Hematological Malignancies, can decrease effectively incidence of NI.Key words:hematological disease;Nosocomial infection;distribution of pathogen中英文缩略词对照表英文缩写英文全名中文译名ALAcute leukemia急性白血病ALLAcute myeloid leukemia急性淋巴细胞白血病AAAplasticanemia再生障碍性贫血ANCAbsoluteneutrophilcount绝对中性粒细胞数CMLChronic myelocytic leukemia慢性粒细胞白血病ITPIdiopathic thrombocytopenia原发性血小板减少性紫癜IFIInvasivefungalinfection真菌感染MDSMyelodysplasticsyn