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目的:调查了解呼吸内科病房病原菌感染的现状,对感染相关因素进行分析,以制定干预措施。方法;对本院2008年1月至2010年12月呼吸内科收治的150例住院患者进行回顾性研究。结果150例患者检出76株病原菌,感染部位以上呼吸道感染为最高,占47.5%;其次是胃肠道感染,占22.5%。感染的危险因素与患者的基础疾病、住院时间长短、大量使用抗生素及侵入性诊疗操作等有关。结论:建立完善的医院感染管理制度,严格无菌技术操作,减少不必要的侵入性操作,合理使用抗菌药物,缩短住院时间等是降低老年呼吸内科患者医院感染发生率的有效措施。
OBJECTIVE: To investigate the status quo of pathogen infection in respiratory ward and to analyze the related factors of infection to make interventions. Methods; A retrospective study of 150 inpatients admitted to our department of respiratory medicine from January 2008 to December 2010 was conducted. Results A total of 76 pathogenic bacteria were detected in 150 patients, with the highest respiratory infection at the site of infection (47.5%), followed by gastrointestinal infection (22.5%). Risk factors for infection and the patient’s underlying disease, hospital length of time, extensive use of antibiotics and invasive diagnosis and treatment operations and so on. Conclusion: Establishing a complete hospital infection management system, strict aseptic techniques, reducing unnecessary invasive procedures, rational use of antimicrobial agents, and shorter hospital stay are all effective measures to reduce the incidence of nosocomial infections among elderly respiratory patients.