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目的分析我院结核病患者医院感染的临床特点,以便总结经验,进一步加强对结核病患者医院感染的防控。方法对我院2002年9月至2009年11月5682例结核病患者医院感染进行回顾性分析。结果1528例患者并发医院感染,感染率为26.90%;感染以肺部为主,为67.02%(1024/1528),其次是肺外的呼吸道部份,感染率为21.47%(328/1528);消化道感染率为5.76%(88/1528);泌尿道感染率为2.36%(36/1528);菌血症0.59%(9/1528);其他2.81%(43/1528)。真菌感染以白色念珠菌为主,感染与年龄、侵袭性操作和滥用抗生素、免疫抑制剂等有关。结论结核病易导致医院感染,必须加强医院感染的管理,有效控制感染的发生。
Objective To analyze the clinical characteristics of nosocomial infections in patients with tuberculosis in our hospital in order to summarize the experience and further strengthen the prevention and control of nosocomial infections in patients with tuberculosis. Methods A retrospective analysis was performed on 5682 tuberculosis patients in our hospital from September 2002 to November 2009. Results 1528 cases were complicated by nosocomial infection, the infection rate was 26.90%. The infection was mainly pulmonary, 67.02% (1024/1528), followed by pulmonary extra respiratory tract, the infection rate was 21.47% (328/1528). The prevalence of gastrointestinal infections was 5.76% (88/1528); urinary tract infection rate was 2.36% (36/1528); bacteremia 0.59% (9/1528); others 2.81% (43/1528). Fungal infections are mainly Candida albicans, infection and age, aggressive operation and abuse of antibiotics, immunosuppressive agents and so on. Conclusion Tuberculosis can easily lead to nosocomial infection. It is necessary to strengthen the management of nosocomial infections and effectively control the occurrence of nosocomial infections.