院内下呼吸道感染176例临床分析

目的了解医院下呼吸道感染的概况,以便加强控制。方法调查我院2008年度院内下呼吸道感染176例。结果≥60岁老年人发生下呼吸道感染多,原发病以肿瘤、脑血管病、肺部疾病占多数,致病菌以G-杆菌为主,G＋球菌感染中MRSA达56.7%。结论医院下呼吸道感染病原菌以G-菌为主,多重耐药是已成医院感染的重要致病菌,免疫功能低下、滥用抗感染药是造成医院感染的主要因素。

Nosocomial pneumonia in clinic: survey and analysis

Objective To inquire into the risk factors of patients with nosocomial pneumonia and search for the effective methods to prevent and control it.Methods All the cases of the 176 patients with nosocomial pneumonia in the clinic of our hospital were analyzed.Results The risk factors of patients with nosocomial pneumonia were the old age,several underlying diseases,not using medicine properly during the treatment and invasive operation.The most common pathogens were mainly Gram-negative bacilli,with accounted for 45.7%.and Gram positive cocci accounted for 28.7%.Conclusion The effection methods to prevent and control nosocomial pneumonia are as the follows：to improve the staff＇s awareness of the danger of nosocomial pneumonia ,be strict to rules of hospital isolation and sterilization,and be try to reduce invasive operation.We should strengthen the cleaning of the wards and the crew＇shands,strengthen the monitoring of quality and pay more attention to the primary treatment。We should use the medicine properly ,especially the use of antibiotics ,immune suppressants and hormones,and pay attention to result of culture from the microbiological laboratory.We should cure the underlying disease actively and improve the stuffers＇ immuntity function.