肿瘤科住院患者医院感染的监测与控制

目的分析肿瘤科患者医院感染的危险因素,制定切实有效的控制措施,降低医院感染率。方法回顾性调查医院肿瘤科近4年来943例住院患者,并参照对比全院同期医院感染资料进行分析、讨论。结果发生医院感染161例,医院感染发生率17.07%;感染224例次,感染例次率23.75%;感染的主要部位是呼吸道,其次为胃肠道;引起医院感染的主要病原菌为白色假丝酵母菌,其次为葡萄球菌属;全院同期医院感染率均值为4.8%。结论肿瘤科的医院感染率明显高于全院平均感染率,肿瘤科患者的感染危险因素为高龄、住院时间长、抗菌药物的不合理使用、侵入性操作或治疗等;开展医院感染监测,针对危险因素进行有效干预可降低肿瘤科的医院感染率。

Surveillance and Control of Oncology Patients with Nosocomial Infection

OBJECTIVE To analyze the risks of nosocomial infection and establish an effective control of infection diseases in Department of Oncology of the Hospital.METHODS Prospective and retrospective studies on 943 hospitalized patients in Department of Oncology were carried out.RESULTS Amony them,161(17.07%) cases occurred the nosocomial infection and the total infection case-times were 224(23.75%);but,the average of the nosocomial infection during the period in our whole hospital was 4.8%.Two major infected sites were respiratory and gastrointestinal tracts;the major pathogens that caused nosocomial infection were Candida albicans,the next were Staphylococcus.CONCLUSIONS Nosocomial infection rate could be decreased by surveying the infection risk factors and developing effective control.