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目的了解精神病区老年患者医院感染现况,为预防与控制老年患者感染提供科学依据。方法采取前瞻性监测与回顾性调查相结合的方法,对522例住院老年精神疾病患者医院感染情况进行调查。结果该精神病区老年患者医院感染发生率为11.30%,感染例次发生率13.60%。这些老年患者医院感染中,呼吸道感染占49.30%,胃肠道感染占21.13%,泌尿道感染占14.08%,分居前3位。老年患者住院时间长、精神疾病及其合并基础病构成医院感染主要危险因素。结论老年精神疾病患者医院感染发生率高,应根据其临床特点采取对应防控措施。
Objective To understand the prevalence of nosocomial infections in elderly patients in psychiatric ward and provide a scientific basis for the prevention and control of the elderly patients. Methods A prospective and retrospective survey was used to investigate the prevalence of nosocomial infections in 522 hospitalized elderly patients with mental illness. Results The incidence of nosocomial infection in elderly patients in this psychiatric ward was 11.30% and the incidence of infection was 13.60%. Among these elderly patients, 49.30% were respiratory infections, 21.13% were gastrointestinal infections, 14.08% were urinary tract infections, and the top three were separated. Elderly patients hospitalized for a long time, mental illness and its underlying diseases constitute the main risk factors for nosocomial infections. Conclusion The incidence of nosocomial infections in elderly patients with mental illness is high, and corresponding prevention and control measures should be taken according to their clinical features.