肿瘤患者医院感染原因分析及预防对策

目的了解肿瘤患者医院感染状况及其影响因素,有效预防和控制医院感染。方法对2938例肿瘤患者医院感染的状况进行回顾性分析总结。结果医院感染的发病率为5.07%;感染高发部位为呼吸道,其构成比为55.9%;肿瘤本身所致的免疫降低,放化疗引起白细胞减少以及多数肿瘤患者年龄大、基础疾病多、住院时间长等均是易感因素。结论肿瘤患者医院感染发生率高,应作为重点监测对象;加强肿瘤患者医院感染危险因素的监测与控制,采取综合有效的防范措施,是降低医院感染的发生率的关键。

Nosocomial Infection: An Analysis and Countermeasures Among Tumor Patients

Objective:To investigate nosocomial infection rate and related factors,in order to prevent and control nosocomial infection among tumor patients.Methods:A total of 2938 cases in department of oncology in our hospital from Jan 2003 to Dec 2005 were analyzed retrospectively.Results:The incidence of tumors concerning nosocomial infection among 2938 was 5.07%.The most frequent sites of nosocomial infection were respiratory tract,making up 55.9%.Predisposing factors were reduction in immunity due to tumor itself,decline in leucocyte caused by radioactive and chemical treatments and other factors,for instance,the great majority of the tumor patients were old-aged,suffering from some basic sicknesses and even were hospitalized for a long time.Conclusions:Tumor patients due to high incidence of tumors concerning nosocomial infection should be monitored.Therefore,the key to decrease nosocomial infection is the the factors of the tumors nosocomial infection among tumor patients should be seriously monitored and controlled and the synthetic effective measures should be taken.