风湿免疫科住院患者医院感染的分析与对策

目的探讨风湿免疫科住院患者医院感染的危险因素与对策。方法回顾性分析2007年10月~2009年9月风湿免疫科1031例住院患者的出院病历。结果1031例患者中发生医院感染30例,感染发生率为2.91%;上呼吸道感染占首位(43.33%),其次为下呼吸道感染(16.67%),泌尿道感染(10.00%)等;医院感染与患者使用免疫抑制剂(57.15%)、营养不良(14.28%)、静脉置管(14.28%)等密切相关。结论加强对感染部位和感染源的监测,严格无菌操作,保护易感人群,增加机体抵抗力,是防止医院感染的有效措施。

Nosocomial Infections in Rheumatic Patients:Analysis and Strategies

OBJECTIVE To investigate the risk factors and strategies of nosocomial infections in rheumatic inpatients. METHODS The rheumatic patients' medical recovds were reviewed retrospectively from Oct 2007 to Sep 2009. RESULTS In 1031 patients, 30 patients had nosocomial infections, whose incidence was 2. 91%; the most frequent infection was upper respiratory infection(43. 33%), then lower respiratory infection(16. 67%),most frequent infection was upper respiratory infection(43. 33%), then lower respiratory infection(16. 67%),immunodepressant(57. 15%) , malnutrition(14. 28%) , and veinal intubation(14. 28%). CONCLUSIONS The risk factors of nosocomial infection in rheumatic patients are analyzed. The effective methods to prevent nosocomial infections are to enhance the supervision about the site and source of infection, execute aseptic technique strictly,protect susceptible patients and increase the patients resistance to infection.