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目的了解老年干部病房患者医院感染发病率、危险因素及病原菌的分布,探讨其控制措施。方法采用回顾性调查方法,对784例>60岁老年患者进行调查。结果老年干部病房患者发生医院感染76例,感染发生率为9.7%,感染部位以呼吸道为主(47.4%),其次为泌尿系统(21.1%);菌群分布以革兰阴性杆菌为主(52.9%),革兰阳性球菌次之(30.5%);感染因素包括年龄、住院时间、侵入性操作、使用广谱抗菌药物及基础疾病等。结论老年患者易发生医院感染,积极治疗基础疾病,减少危险因素,增加机体免疫力,才能降低医院感染发生。
Objective To understand the prevalence of nosocomial infection, the risk factors and the distribution of pathogens in elderly cadres wards, and to explore the control measures. Methods A retrospective survey was conducted in 784 elderly patients> 60 years of age. Results There were 76 cases of nosocomial infection in elderly cadres ward, the infection rate was 9.7%, the respiratory tract was the main infection area (47.4%), followed by the urinary system (21.1%). Gram-negative bacilli were dominant %), Followed by gram-positive cocci (30.5%). The infection factors included age, length of hospital stay, invasive procedures, use of broad-spectrum antimicrobial agents and underlying diseases. Conclusion Elderly patients prone to nosocomial infection, active treatment of underlying diseases, reduce risk factors, increase immunity, in order to reduce the occurrence of nosocomial infections.