白血病患者医院感染分析及护理对策

目的:探讨白血病患者医院感染的相关因素及护理对策。方法:对2001年3月~2004年9月期间我院血液科住院的316例白血病患者发生医院感染情况进行前瞻性及回顾性分析。结果:316例患者有115例发生医院感染,医院感染率为36.94%,例次感染率为44.94%;医院感染部位以呼吸道为主,其次为肛周、皮肤和软组织及口腔;医院感染发生与住院时间呈正相关;病原菌前四位分别为真菌、G+杆菌、金黄色葡萄球菌、溶血性链球菌。结论:加强对呼吸道、肛周、皮肤和软组织及口腔的护理,并及时治疗感染;注意合理使用抗菌药物。

Analysis of Hospital Infections and Nursing Methods to Leucocythenmia Patients

Purpose To probe into the correlation factors and nursing methods of hospital infections in leucocythemia patients.Methods: hospital infectional conditions of 316 leucocythemia patients treated from Mar 2001 to Sep 2004 were analyzed retrospectively.Results: Hospital infection ocurred in 115 patients,the infection rate was 36.94%,it was positive correlatived with hospital period.The firstly position of infection were respiratory tract,and the next were tissues around anus,skin,soft tissue and mouth.The usually pathogenic bacteria were fungus,Gram bacillus,staphylococcus,streptococcus.Conclusion: Intensive nursing of tissues around anus,skin,soft tissue and mouth,treating infection timely,using antibiotics reasonable were the important factors to prevent hospital infection.