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目的探讨消化内科老年患者医院感染的发生率及危险因素等,提出针对性的预防医院感染的措施,降低老年患者医院感染的风险。方法通过前瞻性研究方法,组织专业的负责人员团队,通过在院记录及出院随访相结合的方式,对绍兴市立医院消化内科老年人的医院感染进行统计分析。结果 1 036例消化内科老年患者中,发生医院感染145例,感染率为14.00%。感染率会随着住院天数,侵袭性操作,长期卧床,使用激素等危险指数升高而升高。不同管床大夫的调整感染专率不同,差异具有统计学意义;发生感染的主要部位为下呼吸道及泌尿系,主要病原菌为肺炎克雷伯杆菌。结论消化内科老年患者医院感染的危险因素包括住院天数、长期卧床等,需在今后的临床治疗中引起注意。
Objective To investigate the incidence and risk factors of nosocomial infections in elderly patients with gastroenterology and put forward some measures to prevent nosocomial infections and reduce the risk of nosocomial infection in elderly patients. Methods By means of prospective research, we organized a team of responsible personnel to conduct a statistical analysis of nosocomial infections among the elderly in the digestive medicine department of Shaoxing Municipal Hospital through a combination of record in hospital and follow-up at discharge. Results In 1 036 cases of elderly patients with gastroenterology, 145 cases of nosocomial infection occurred and the infection rate was 14.00%. Infection rates increase with the number of days of hospitalization, invasive procedures, prolonged bed rest, use of hormones and other risk factors. Different tube bed doctor adjusted the infection rate is different, the difference was statistically significant; the main parts of the infection occurred in the lower respiratory tract and urinary tract, the main pathogen Klebsiella pneumoniae. Conclusion The risk factors of nosocomial infection in elderly patients in digestive medicine include length of hospital stay, long-term bed rest and so on, which should be paid attention to in the future clinical treatment.