CAJ | 학술논문

目的：分析发生医院感染的相关因素，探讨肿瘤患者医院感染的控制措施。方法以前瞻性与回顾性相结合的综合调查方式了解恶性肿瘤住院患者医院感染情况。结果调查住院患者2243例，发生医院感染177例次，医院感染例次发生率7．89％；感染部位：呼吸道68．93％，泌尿道11．30％，胃肠道9．60％。分离出146株病原菌，革兰阴性菌（G-菌）71株（48．63％），革兰阳性菌（G＋菌）31株（21．23％），真菌44株（30．14％）；抗菌药物使用率为54．17％。结论肿瘤患者医院感染因素与患者年龄、使用免疫抑制剂和激素、抗菌药物、接受抗肿瘤放疗及化疗、侵袭性操作等相关。
목적：분석발생의원감염적상관인소，탐토종류환자의원감염적공제조시。방법이전첨성여회고성상결합적종합조사방식료해악성종류주원환자의원감염정황。결과조사주원환자2243례，발생의원감염177례차，의원감염례차발생솔7．89％；감염부위：호흡도68．93％，비뇨도11．30％，위장도9．60％。분리출146주병원균，혁란음성균（G-균）71주（48．63％），혁란양성균（G＋균）31주（21．23％），진균44주（30．14％）；항균약물사용솔위54．17％。결론종류환자의원감염인소여환자년령、사용면역억제제화격소、항균약물、접수항종류방료급화료、침습성조작등상관。
Objective To investigate the characters of nosocomial infection patients with malignant tumors ,analyze nosocomi-al infection correlation factor ,and probe control measure .Methods The prospective and retrospective synthetic investigation was used in 2243 patients.Results In all cases,nosocomial infection occurred in 177 cases (7.89%),infection position mainly in patients with respiratory tract,the incidence rate was 68.93%,and urinary tract was 11.30%,gastrointestinal tract was 9.60%.Pathogenic bacteria were found in 146 cases,the most common pathogen was Gram-negative bacteria and there were 71 cases (48.63%).Gram-positive bacteria were found in 31 cases (21.23%),eumycete were found in 44 cases (30.14%).The rate of antibacterials drug used in 54.17%cases.Conclusion The factors of nosocomial infection patients with malignant tumors were correlated with ages ,immunode-pressant,hormone,antibacterials,radiotherapy,chemotherapy and invasion operation .