老年患者医院感染537例分析

目的分析老年患者医院感染的发生规律及特点，对临床采取积极有效的防治措施提供帮助。方法对我院537名发生医院感染的老年患者分别进行易感人群的基础疾病、感染部位、病原体种类及药敏结果、危险因素进行分类、统计、分析。结果老年患者医院感染率74．1％，多系统疾病、侵袭性操作、药物尤其抗生素使用时间、住院时间、不良习惯与医院感染密切相关。真菌导致医院感染占所有病原体的17.9％。结论老年患者改变不良习惯，改善病房环境，对症治疗基础疾病，抗生素使用及侵袭性操作要坚持原则，加强支持治疗。

Analysis the 537 cases of hospital-acquired infection in the senile patients

Objective To analyze the hospital-acquired infection roles and characters of the senile people and take a respondent prophylactic and instant therapy. Methods 537 cases with hospital-acquired infection have been classified, analyzed and calculated according to their underlying diseases, infection sites, types of microbe, antibacterial sensitive tests and risk factors. Results The senile patients shared a higher rate of hospital-acquired infection 74.1%. Multiple system diseases, invasive procedures, the time of using antibiotic drug and hospitalization, the harmful habit were related to the hospital-acquired infection. The fungus was the main microbe17.9%. Conclusions Change the harmful habit of the senile patients , improve the ward surroundings, use the expectant treatment to the underlying diseases, especially the antibiotic drug and invasive procedures, strengthen supporting therapy to improve immune ability in senile patients.