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目的 :研究老年病人与院内感染的关系。方法 :对 2 6 5例院内感染临床资料进行回顾性分析。结果 :老年病房院内感染率为 10 .98%。院内感染与年龄成正相关 ,感染部位以下呼吸道为主 ,与原发病如慢支、脑血管病、糖尿病等相关。院内感染致病茵以革兰氏阴性杆菌为主 ,占 6 4.6 5 % ,革兰氏阳性球菌占 15 .6 6 % ,真菌占 19.6 9%。院内感染病死率 15 .46 %。结论 :老年人院内感染率高 ,与年老体弱多病 ,机体免疫功能低下 ,以及药物使用等因素有关。因此 ,应对老年病房加强管理 ,严格消毒隔离 ,避免不必要侵袭性检查治疗 ,合理使用抗生素、激素 ,积极治疗原发病 ,从而降低老年人院内感染率。
Objective: To study the relationship between elderly patients and nosocomial infections. Methods: The clinical data of 265 cases of nosocomial infections were retrospectively analyzed. Results: The rate of nosocomial infection in the elderly ward was 10.98%. Nosocomial infection is positively related to age, the main respiratory tract below the infection site, and the underlying diseases such as chronic bronchitis, cerebrovascular disease, diabetes and so on. Nosocomial infections with Gram-negative bacilli accounted for 6 4.6%, Gram-positive cocci accounted for 15.66%, 19.6% of fungi. Hospital infection mortality rate of 15.46%. Conclusion: The rate of nosocomial infection in the elderly is high, which is related to the elderly frailty, poor immune function, and the use of drugs. Therefore, we should strengthen the management of geriatric wards, strict disinfection and isolation, to avoid unnecessary invasive examination and treatment, rational use of antibiotics, hormones, active treatment of primary disease, thereby reducing the rate of nosocomial infection in the elderly.