摘要
目的对医院真菌感染的危险因素,进行分析。方法对2004年1月～2008年12月,各科上报医院感染管理科的医院感染病例危险因素进行回顾性统计分析。结果有46例真菌感染,感染部位以泌尿道感染为主;科室分布以内科为主;性别以男性为主;年龄以>60岁居多;住院天数>20d占78.3%;感染发生日在住院10d以后发生占58.7%;抗菌药物种类:全部均有使用抗菌药物,使用>2种的有32例;治愈率只有47.8%,死亡率8.7%;接受侵入性操作的有40例占87.0%;基础疾病以神经内、外科疾病为主,占22例;有逐年增多的趋势。结论医院真菌感染的危险因素是老年、住院时间长、侵入性操作多、抗菌药物使用种类多等有关。
OBJECTIVE To search the risk factors of fungal hospital infection,make the control measures and reduce the incidence. METHODS Data on reported cases with hospital infection were collected and retrospectively analyzed from Jan 2004 to Dec 2008. RESULTS Forty-six cases with hospital infection were reported. Urinary tract was the main infection site. The majority of cases were distributed in internal medicine. The number of male patients was more than that of female cases. Most of patients were above 60 years. Hospital day in 78.3% cases was more than 20 days. 58.7% cases of hospital infection occurred in 10 days after hospitalization. All patients were given antibiotics,32 of which were used more than 2 kinds. The cure rate was 47.8% and mortality was 8.7%. Forty patients were given invasive operation ,accounted for 87%. Twenty-two patients had the primary disease of nervous system with increasing trends. CONCLUSIONS Old,long-time hospitalization,invasive operation and abuse of antibiotics may be the risk factors of fungal hospital infection.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第5期661-662,共2页
Chinese Journal of Nosocomiology
关键词
医院真菌感染
危险因素
控制对策
Fungal hospital infection
Risk factor
Control measure
