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目的调查了解血液病患者在医院感染性疾病中的危险因素,将是重点控制医院感染发生率的关键;方法统计近3年住院病案及血液病住院人群,对其中508例血液病患者医院内感染情况进行回顾性调查分析;结果住院病案医院内感染发生率为5.10%,而血液病患者是医院感染中存在的高危人群,发生率为41.42%,有极显著的临床意义(P<0.01);经分析与年龄及使用放疗、化疗和大剂量激素类药物应用等有关;痰、血、尿、粪、分泌物等细菌培养以真菌和G+细菌为主;结论血液病患者抵抗力下降,住院天数延长,长期使用放疗、化疗、大剂量激素类药物以及不合理使用抗生素等是造成医院感染的主要因素。
Objective To investigate the risk factors of patients with blood diseases in nosocomial infectious diseases, which will be the key to control the incidence of nosocomial infections.Methods Statistics of hospitalized patients and hospitalized patients with hematological diseases in recent 3 years, analyzed 508 cases of nosocomial infections Results The incidence of hospital infection in hospital was 5.10%. The incidence of nosocomial infection was 41.42% in patients with hematological diseases. There was a significant clinical significance (P <0.01). Analyzed with age and the use of radiotherapy, chemotherapy and the application of large doses of hormonal drugs and other related; sputum, blood, urine, feces, secretions and other bacterial culture with fungi and G + bacteria mainly; Conclusion Hematological disease decreased resistance, length of stay Prolonged, long-term use of radiotherapy, chemotherapy, high-dose hormonal drugs and unreasonable use of antibiotics are the main factors causing nosocomial infections.