刘明德,陈萍.298例危重病人医院感染分析[J].Chinese journal of Epidemiology,1995,16(4):231-233 |
298例危重病人医院感染分析 |
Analysis of Nosocomial Infection in Hospitalized Critical and Serious Patients |
Received:July 18, 1994 Revised:October 13, 1994 |
DOI: |
KeyWord: 医院感染 感染率 危险因素 |
English Key Word: Nosocomial infection Infection rate Risk factor |
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Abstract: |
对重庆地区某综合性医院298例危重病人医院感染进行了调查分析。结果危重病人的医院感染率达43.3%(129例);以脑外科、血液内科等的感染率较高;感染部位以肺部感染最为突出,占65.1%,是其感染特点之一;感染的危险因素有年龄、住院时间、气管切开、放疗与化疗、脑部手术等;感染病原菌以革兰氏阴性杆菌为主,占52.2%,其中以绿脓杆菌较多见,占23.9%,真菌已成为其重要病原菌;感染病例的病死率明显高于非感染病例,预后较差。作者认为加强危重病人医院感染的预防和控制,对医院感染管理具有重要意义。 |
English Abstract: |
An investigation was made on 298 hospitalized critical and serious patients in Chongqing. The results showed that the nosocomial infection rate was 43.3% (129/298). The higher infection rate was found in the departments of brain surgery and hematopathy. The lower respiratory tract was found to be the most commonly seen infection sites (65.1%). Of 46 strains of the pathogenic organisms causing the nosocomial infection, gram-negatove becilli were accounted for 52.2% and fungi 28.3%. The case fatality rate of infected patients (37.9%) was significantly higher than that of non-infected patient's (10.7%). |
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