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肿瘤患者院内感染的临床分析与预防措施

Clinical analysis of nosocomial infections in hospitalized cancer patients and effective precautionary measures

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【作者】 冯紫薇黄端郝淳敏李润田孙兰英高文彬尹光雅

【Author】 Ziwei FENG;Duan HUANG;Chunmin HAO;Runtian LI;Lanying SUN;Wenbin GAO;Guangya YIN;Department of Nosocomial Infection Management,Tianjin Medical University Cancer Institute and Hospital,Key Laboratory of Cancer Prevention and Treatment of Tianjin City;Tianjin Medical University;

【机构】 天津医科大学附属肿瘤医院感染管理科,天津市肿瘤防治重点实验室天津医科大学研究生院

【摘要】 目的:对肿瘤患者医院感染情况进行临床分析并提出预防措施。方法:采用回顾性调查方法,对天津医科大学附属肿瘤医院2012年1月1日至12月31日56 430例出院病例进行医院感染调查分析。结果:发生医院感染825例,感染率为1.46%,其中年龄≥60岁者占46.42%。胃部肿瘤科感染率最高,肝胆肿瘤科感染构成比最高。感染病原菌以革兰氏阴性菌为主,真菌感染相对较少。易感部位是腹部和消化道,主要病原菌是大肠埃希菌。结论:医护人员应高度重视上述影响因素,采取综合防治措施,降低肿瘤患者医院感染率。

【Abstract】 Objective:The present study aimed to conduct a clinical analysis of nosocomial infections in hospitalized cancer patients and propose effective precautionary measures.Methods:We retrospectively analyzed 56,430 cases of discharges from the Cancer Institute and Hospital of Tianjin Medical University between January and December 2012.Results:Among 825 cases,the rate of nosocomial infections was 1.46%;46.42% of the patients aged >60 years.The highest infection rate was observed in the Medical Department of Stomach Cancer.The highest composing rate was recorded in the Department of Hepatobiliary Cancer.The major pathogenic bacteria were Gram-negative bacilli;fungal infections were relatively rare.The most vulnerable body parts were the abdomen and digestive tract,which were mainly infected by pathogenic Escherichia coli.Conclusion:Healthcare workers should consider the importance of influencing factors and take precautionary measures to reduce the rate of nosocomial infections in cancer patients.

  • 【文献出处】 中国肿瘤临床 ,Chinese Journal of Clinical Oncology , 编辑部邮箱 ,2013年15期
  • 【分类号】R73
  • 【被引频次】20
  • 【下载频次】111
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