老年恶性肿瘤放/化疗患者院内感染相关因素分析

目的通过分析老年肿瘤进行放/化疗合并医院感染的患者临床资料的分析,探讨此类患者医院感染的相关因素。方法对2010年6月～2011年6月在笔者所在医院进行放/化疗合并院内感染的老年肿瘤患者的临床资料进行回顾性分析。结果老年恶性肿瘤患者发生院内感染者45例,感染率为6.9%。主要以呼吸系统感染为主,其次为消化系统感染。男性和女性感染的发生率无差异,年龄>70岁,住院时间>30d,白细胞计数<1.5×109/L,使用免疫抑制剂和抗生素的患者更易发生院内感染。结论通过对老年恶性肿瘤放/化疗的患者合并院内感染的相关因素进行分析,能够为临床预防与治疗提供依据。

Analysis on risk factors of nosocomial infection in the elderly with cancer under radiotherapy or chemotherapy

Objective To discuss the risk factors of nosocomial infection in the elderly with cancer under radiotherapy or chemotherapy.Methods The clinical data of 45 cases with cancer under radiotherapy or chemotherapy in the elderly were analyzed retrospectively.Results There were 45 cases with nosocomial infection,which accounted for 6.9%.The rate of respiratory tract infection was the most,which was followed by gastrointestinal infections.The patients whose age was > 70 years old,length of stay was > 30 d,WBC < 1.5×10 9 /L,who was treated with immunosuppressive and antibiotics,were more susceptible to get nosocomial infection.Conclusion To analysisthe risk factors of nosocomial infection in the elderly with cancer under radiotherapy or chemotherapy,can help to prevent and cure hospital acquired infection.