165例老年肺结核病医院感染的临床研究

目的：探讨老年肺结核病患者医院感染的临床特点及易感因素，以采取有效防治措施。方法：采用回顾性调查方法对1468例肺结核病患者医院感染进行调查。结果：老年肺病患者医院感染率28．1％，感染部位以呼吸道为主，泌尿道，肠道次之；医院感染病菌以革兰阴性菌为主，病程，原发病情况，并存率，抗生素的使用及侵袭性操作为易感因素，结论L积极治疗原发疾病，减少复治，难治老年肺结核病患者，防治并存症，合理使用抗生素，减少，避免侵袭性操作，是防治老年肺结核病医院感染的有效措施。

Nosocomial Infection in 165 Elderly Cases with Pulmonary Tuberculosis: A Clinical Research

OBJECTIVE To investigate the clinical feature and causes of nosocomial infection in elderly patients with pulmonary tuberculosis for adopt effective methods to it prophylaxis.METHODS A retrospective analysis method was used.RESULTS The rate of nosocomial infection in elderly patients with pulmonary tuberculosis is 28.1%, the main infection way is via respiration, and the dominant pathogens are Gram negative bacteria. The period and degrees of pulmonary tuberculosis, the complications, taking antibiotics, and invasive test and therapy are the causes of nosocomial infection.CONCLUSIONS Treating pulmonary tuberculosis actively and reducing the incidence of repeated treatment and refractory pulmonary tuberculosis, complication control, using antibiotics rationally, and less or avoiding invasive process are effective methods to avoid nosocomial infection in elderly patients with pulmonary tuberculosis.