恶性肿瘤死亡病例医院内感染回顾性分析

目的探讨恶性肿瘤死亡患者的医院感染情况,为制定防控措施提供依据。方法对我院2003-2005年恶性肿瘤死亡病例进行回顾性调查。结果403例恶性肿瘤死亡患者中发生医院感染147例181例次,占恶性肿瘤死亡病例的36.48%。下呼吸道和泌尿道感染分别占医院感染的58.56%和14.36%;在送检的标本中检出病原体104株,真菌和革兰阴性菌为主。结论恶性肿瘤患者是医院感染的高发人群,下呼吸道感染是恶性肿瘤死亡患者的主要感染部位,真菌、革兰阴性菌是主要感染的病原体。

Retrospective Analysis of Hospital Infection in Dead Cases With Malignant Tumor

Objective To investigate nosocomial infections on the dead cases of malignant tumor,in order to providing scientific data for preventing and controlling nosocomial infection.Methods The dead cases of malignant tumor with nosocomial infection,which were in hospital from 2003 to 2005,were retrospectively analyzed.Results 147 of 403 cases of malignant tumor suffered from hospital infection.The infection rate was 36.48%.The lower respiratory tract and Urinary tract infection were accounted for 58.56 % and 14.36 % respectively.There were 104 infectious agents detected in all samples.The Gram negative bacteria and fungi were major species.Conclusions The patients of malignant tumor were high risk population of hospital infection.Lower respiratory tract was the most susceptible site in the dead cases of malignant tumor.The Gram negative bacteria and fungi were major pathogens.