肺尘埃沉着病患者医院感染的特点分析与护理对策

目的探讨肺尘埃沉着病患者发生医院感染的特点和预防对策。方法选取2008年8月至2011年8月职业病科住院的597例肺尘埃沉着病患者,采取回顾性方法进行分析。结果 597例肺尘埃沉着病患者发生医院感染61例次,感染率为10.2%;肺部感染29例占47.5%;上呼吸道感染25例占41%,胃肠道感染5例占8.2%,泌尿系感染2例占3.3%。尘肺Ⅰ期、Ⅱ期以上呼吸道感染为主占88%,肺部感染占41.4%;尘肺三期上呼吸道感染占12%,而肺部感染占58.6%。结论肺尘埃沉着病患者医院感染以呼吸系统感染为主,肺尘埃沉着病患者呼吸系统感染部位与尘肺分期有关。应有针对性的采取积极有效的干预措施。

The Characteristic Analysis and Nursing Strategy on Pneumoconiosis Caused by Hospital Infection

Objeetive To investigate the features and solutions of pneumoconiosis resulting from hospital infection. Methods The data of 597 cases of pneumoconiosis patients to hospital during August 2008 to August 2011, has been analyzed retrospectively. Results. There were 61 cases infected at hospital among 597 pneumoconiosis patients.The infection rate was 10.2%.Among these 61 people, 29 were infected at lung area, 25 at upper respiratory tract, 5 at gastrointestinal area, and only 2 at urinary tract, so the infection rates are 47.5%, 41%, 8.2% and 3.3% respectively. The probability of infection by pneumoconiosis at early stages, including Phase 1 and Phase 2, reaches 88% at upper respiratory tract and 41.4% at lung area. For infections caused by Phase 3, about 12% occurred at upper respiratory tract and 58.4% at lung area. Conclusion It can be concluded that the major infected area of pneumoconiosis due to hospitalization is respiratory system, and the detailed infection sites are related to different stages of pneumoconiosis. Thus it is necessary to take effective counter measures according to specific situations.