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精神分裂症伴肺结核患者医院感染的临床分析

Nosocomial Infection in Schizophrenics with Tuberculosis:A Clinical Analysis

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【作者】 金志兴陈文忠袁炳荣徐萍石建喜

【Author】 JIN Zhi-xing,CHEN Wen-zhong,YUAN Bing-rong,XU Ping,SHI Jian-xi(Subdivision of Shanghai Mental Health Center,Shanghai 201108,China)

【机构】 上海市精神卫生中心分部北京军区256临床部 上海201108上海201108河北正定050800

【摘要】 目的探讨精神分裂症伴肺结核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。方法通过回顾性调查对207例精神分裂症伴肺结核患者的医院感染进行分析。结果精神分裂症伴肺结核患者医院感染率为39.13%,感染部位以呼吸道为主,皮肤软组织、胃肠道次之;结核病程、病灶范围、吸烟史、精神症状、并发症为易感因素。结论积极控制精神症状、防治躯体并发症、合理使用抗菌药物、减少或禁止吸烟,是防治精神分裂症伴肺结核患者医院感染的有效措施。

【Abstract】 OBJECTIVE To investigate the clinical features and causes of nosocomial infection in schizophrenics with tuberculosis so as to take effective measures for better prevention and treatment.METHODS A retrospective investigation was used to analyze the clinical features and causes of nosocomial infection in 207 schizophrenics with tuberculosis.RESULTS The rate of nosocomial infection in schizophrenics with tuberculosis was 39.13%.The main infection way was via respiratory tract,followed by skin,soft tissue and gastrointestinal tract.The period and degrees of tuberculosis,the history of smoking,psychiatric symptoms and the complications were the causes of nosocomial infection.CONCLUSIONS Controlling psychiatric symptoms actively,preventing and treating somatic complications,using antibiotics rationally and less or no smoking are the effective measures to avoid nosocomial infection in schizophrenics with tuberculosis.

  • 【文献出处】 中华医院感染学杂志 ,Chinese Journal of Nosocomiology , 编辑部邮箱 ,2007年08期
  • 【分类号】R749.3;R521
  • 【被引频次】15
  • 【下载频次】75
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