【摘要】 目的探讨急性白血病(AL)患者医院感染的危险因素并提出针对性的防治对策。方法对2003年1月～2006年10月间,湛江中心人民医院住院350例急性白血病(AL)患者的临床资料进行前瞻性和回顾性总结分析。结果350例急性白血病(AL)患者中有105例合并医院感染,医院感染的发生率为30%,医院感染例次率为38.86%,其中以呼吸道居首位占55.15%,其次为血液占19.12%,胃肠道占10.29%;年龄、住院天数、侵入性操作等,是引起AL患者医院感染的主要危险因素。结论AL患者医院感染发生率高,积极治疗原发病,减少危险因素,合理应用抗生素,加强医护人员无菌操作,是降低医院感染的有效措施。更多还原

【Abstract】 Objective To survey the risk factors of hospital infection in acute leukaemia(AL) patients,and put forward the applied measures. Methods The clinical data of 350 AL inpatients from Jan 2003 to Oct 2006 in our hospital were analyzed retrospectively and prospectively. Results The 105 AL patients were infected in the hospital with a hospital infection rate of 30% and the case-time rate of 38.86%.The main infection site was respiratory tract(55.15%) and followed by blood(19.12%) and gastrointestinal tract(10.29%).Ages,days of hospitalization and invasive manipulation were the main risk factors associated with hospital infection in AL patients. Conclusion There is a higher hospital infection rate in AL patients.Reasonable use of antibiotics and aseptic operation are effective for reducing the incidence of hospital infection.更多还原