论文部分内容阅读
目的研究住院血液病患者医院感染状况及其危险因素,为血液病房医院感染防控提供参考依据。方法通过资料统计分析方法,对某医院血液病房住院患者医院感染现状及其危险因素进行调查与分析。结果该医院血液科2013年共出院患者1 481例次,查出医院感染患者69例,医院感染率为4.66%。血液病患者医院感染部位主要是呼吸道感染和皮肤黏膜感染。引起血液系统患者医院感染的主要危险因素有粒细胞缺乏及其功能下降,贫血、化疗、应用免疫抑制剂和接受侵袭性操作等。结论血液系统住院患者医院感染主要危险因素包括血液成分改变致使免疫功能下降和侵入性操作等,严格消毒隔离和提高病人免疫力为重点防控措施。
Objective To study the status of nosocomial infection and its risk factors in hospitalized patients with blood diseases and provide references for prevention and control of nosocomial infection in blood wards. Methods By means of statistical analysis of data, the current situation and risk factors of nosocomial infection in inpatients in blood ward of a hospital were investigated and analyzed. Results A total of 1 481 hospital discharges were performed in the department of hematology in 2013, and 69 cases of nosocomial infections were detected. The hospital infection rate was 4.66%. Hematopathy patients with nosocomial infections are mainly respiratory tract infections and skin and mucous membrane infections. The main risk factors for nosocomial infections in patients with hematologic disorders include agranulocytosis and decreased function, anemia, chemotherapy, the use of immunosuppressive agents and invasive procedures. Conclusion The main risk factors of nosocomial infection in patients with hematological system include the change of blood components, the decrease of immune function and the invasive operation. The strict disinfection and isolation and the improvement of patient immunity are the key prevention and control measures.