精神病患者医院感染调查及危险因素分析

目的了解精神病患者医院感染特点和危险因素。方法采用前瞻性与回顾性相结合的方法调查我院2005年1月~12月收治的1250例住院精神病患者的医院感染情况,并对其相关危险因素进行分析。结果医院感染率为11.36%,以上呼吸道(41.57%)、下呼吸道(21.69%)和胃肠道(16.87%)感染为主。医院感染病种以精神分裂症和情感性精神障碍为主,分别占48.59%、38.03%。结论病程长短、住院次数、住院时间、药物副反应(流涎)及自我照顾能力为医院感染发生的相关因素。

Nosocomial infection of inpatients with psychopathy:an incidence survey and risk factor analysis

Objective To investigate the characteristic and risk factor of nosocomial infection of inpatients with psychopathy. Methods The nosocomial infection of 1 250 inpatients with psychopathy were surveyed, and the risk factors were analyzed. Results The incidence of nosocomial infection is 11.36%. Among the nosocomial infection, the main infections were upper respiratory infection (41.57%), lower respiratory infection (21.69%) and gastrointestinal infection (16.87%). The main original diseases were schizophrenia (48.59%) and psychic disorder of emotion (38.03%). Conclusions The main risk factors of nosocomial infection of inpatients with psychopathy are long course of disease, frequency of hospitalization, long time of stay-in hospital, side effect of drugs(salivate) and self-care ability.