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泌尿道感染可分为院外感染及院内感染,院内泌感是指入院前无泌尿系感染,而在入院后感染上的泌尿系感染。我们调查了1992年1～12月期间在我院干部病房住院的老年病人的泌尿系院内感染情况,籍以分析老年人医院内获得性泌尿系感染的特点,对其防治提供参考依据。 对象与方法 1.对象:1992年全年在我院干部病房住院的所有老年病人共858人次。 2.方法:查看病历、病情记录、医嘱单、化验单、体温表及护理记录资料,填写流行病学个案调查表。 3.诊断标准:入院48小时后发生的泌尿系感染均属院内泌感,包括有症状的泌尿道感染,无症状的菌尿症和其他尿路感染,诊断标准为有尿路感染症状和/或白细胞尿,清洁中段尿细菌培养菌落计数≥10~5/ml,若病人入院时已有尿路感染,入院后培养出新的细菌,菌落数≥10~5ml,也定为院内感染。 4.细菌学鉴定:清洁中段尿细菌培养后,用
Urinary tract infections can be divided into nosocomial infections and nosocomial infections, nocturnal senility refers to no urinary tract infection before admission, urinary tract infection and infection after admission. We investigated the urinary nosocomial infections of elderly patients hospitalized in cadre wards of our hospital from January to December 1992 to analyze the characteristics of acquired urinary tract infections in the elderly and provide references for their prevention and treatment. Subjects and Methods 1. Subjects: A total of 858 elderly patients admitted to cadres’ wards in our hospital throughout 1992. 2. Methods: View the medical records, medical records, medical orders, laboratory tests, thermometers and nursing records, fill out the epidemiological case questionnaire. 3. Diagnostic criteria: Urinary tract infections that occur 48 hours after admission are nociceptive, including symptomatic urinary tract infections, asymptomatic bacteriuria and other urinary tract infections, with diagnostic criteria for urinary tract infections and / Or leukocyte urine, clean the middle of the urine bacterial culture colony count ≥ 10 ~ 5 / ml, if the patient had urinary tract infection at admission, after admission to develop new bacteria, the number of colonies ≥ 10 ~ 5ml, also set for nosocomial infection. 4. Bacteriological identification: cleaning the middle of urine bacterial culture, use