论文部分内容阅读
目的了解死亡患者医院感染发病特点,为医院感染管理工作提供科学依据。方法对2008年175例死亡病例进行回顾性调查分析。结果医院感染发生率18.86%,例次感染率23.43%,其中3例肺部感染的发生是导致患者死亡的主要原因;感染部位以下呼吸道为主,占63.41%,其次为泌尿道和胃肠道,分别占12.20%和9.76%;病原菌以革兰阴性杆菌和真菌为主,真菌感染在各类病原菌感染中居首位;易感因素包括年龄、住院时间、侵入性操作、不合理使用抗菌药物及基础疾病。结论危重患者易发生医院感染,减少易感因素,规范医疗护理操作行为,严格执行消毒隔离制度,以降低医院感染发生率,保证患者安全。
Objective To understand the characteristics of nosocomial infections in death patients and provide a scientific basis for nosocomial infection management. Methods A retrospective survey of 175 deaths in 2008 was conducted. Results The incidence of nosocomial infection was 18.86%, and the incidence of nosocomial infections was 23.43%. The incidence of pulmonary infection was the main cause of death in 3 cases. The main respiratory tract was below respiratory tract, accounting for 63.41%, followed by urinary tract and gastrointestinal tract , Accounting for 12.20% and 9.76% respectively. Gram-negative bacilli and fungi were the main pathogens, and fungal infections ranked the first among various pathogen infections. Susceptibility factors included age, length of hospital stay, invasive procedures, and unreasonable use of antimicrobial agents disease. Conclusions The critically ill patients are prone to nosocomial infection, reduce the risk factors, standardize the medical and nursing practices, strictly enforce the disinfection and isolation system to reduce the incidence of nosocomial infections and ensure the safety of patients.