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目的:分析肺癌内科病区患者医院感染的危险因素,并制定安全有效的管理措施,以减少医院感染发生率。方法:回顾性调查2013年2月~2014年6月浙江省湖州市中心医院肺癌内科收治的358例患者的临床资料,对可能影响医院感染的危险因素进行统计学检验,分析其与医院感染的相关性。结果:358例肺癌内科住院患者中医院感染发生率为17.32%。感染部位以呼吸道为主,其中下呼吸道为6.42%,上呼吸道为2.51%。其次为胃肠道、泌尿系统、血液、侵入性操作切口和其他。年龄、住院时间、临床分期、放化疗、免疫抑制剂及激素、抗生素、侵入性操作等均为肺癌内科住院患者发生医院感染的重要危险因素。结论:肺癌内科病区患者医院感染率高,发病因素复杂,因此应积极采取各项管理措施,严格落实各项监管制度,不断提高医护人员的防范意识,从而有效控制和降低医院感染发生率,保证患者住院安全。
Objective: To analyze the risk factors of nosocomial infection in patients with lung cancer medical ward and to develop safe and effective management measures to reduce the incidence of nosocomial infection. Methods: The clinical data of 358 patients admitted to Department of Lung Cancer in Central Hospital of Huzhou, Zhejiang Province from February 2013 to June 2014 were retrospectively analyzed. The risk factors of nosocomial infection were statistically tested, and the correlations with nosocomial infections Correlation. Results: The incidence of hospital infection in 358 cases of inpatients with internal medicine of lung cancer was 17.32%. Infected parts of the main respiratory tract, including lower respiratory tract was 6.42%, upper respiratory tract was 2.51%. Followed by gastrointestinal tract, urinary system, blood, invasive surgical incision and others. Age, hospital stay, clinical stage, chemoradiotherapy, immunosuppressive agents and hormones, antibiotics, invasive procedures are all important risk factors for nosocomial infection in hospitalized patients with lung cancer. Conclusions: Infection rate of hospital patients with lung cancer is high and incidence factors are complex. Therefore, various management measures should be actively taken, strict implementation of various regulatory systems and continual improvement of prevention awareness of medical staff so as to effectively control and reduce the incidence of nosocomial infections, Ensure hospital patient safety.