恶性肿瘤患者医院感染及其危险因素研究

目的研究恶性肿瘤患者医院感染现状及其特点,分析发生医院感染的相关因素。方法采取前瞻性和回顾性调查方法,对2010年度本医院肿瘤科住院的全部恶性肿瘤患者医院感染情况及其危险因素进行调查与分析。结果该医院肿瘤科全年共收治453例恶性肿瘤患者,发生44例医院感染、45例次,医院感染发生率为9.71%、例次感染发生率为9.93%。在45例次医院感染病例中,60%为呼吸道感染;感染部位构成比由高到低依次为下呼吸道感染、皮肤感染、胃肠道和泌尿道感染。住院时间长,实施放疗和化疗是诱发恶性肿瘤患者医院感染的主要危险因素。结论恶性肿瘤病人医院感染发生率较高,住院时间、放化疗措施是重要危险因素,应有针对性地采取防控措施。

STUDY ON NOSOCOMIAL INFECTION AND RISK FACTORS IN PATIENTS WITH MALIGNANT TUMORS

Objective To investigate the present situation and the characters of nosocomial infection(NI) in patients with malignant tumors,and analysis the related risk factors of nosocomial Infection.Methods The prospective and retrospective investigation was used to investigate and analyze the nosocomial infection and the risk factors of patients in the tumor department in 2010.Results 453 patients were treated in 2010.44 cases and 45 cases times had nosocomial infections.The rate of nosocomial infection was 9.71%,cases times infection rate was 9.93%.The susceptible sites for nosocomial infection were respiratory tract(60.00%),skin,gastrointestinal tract and urinary tract.Long time stayed in hospital,implement radiation and chemotherapy were the main risk factors for nosocomial infection.Conclusion Malignant tumor inpatients have a high incidence of hospital nosocomial infection.We should target to take control and prevention measures according the main risk facts.