CAJ | 학술논문

目的：探讨精神科住院患者发生医院感染的危险因素，为医院感染的防控提供依据。方法采用回顾性分析方法，对天津市安定医院2013年11月-2014年11月期间发生医院感染的住院患者的临床资料进行分析。结果2086例患者中共74例患者发生感染，占3.55%，感染79例次；感染患者的感染部位主要集中在泌尿道和呼吸道（泌尿道30例次占37.97%，呼吸道43例次占54.43%），患者年龄、住院时间、病程、疾病种类、基础疾病、侵入性操作及药物不良反应与医院感染的发生有关（P <0.05或0.01）。年龄、住院时间、侵入性操作及药物不良反应是精神专科医院感染的独立危险因素。结论呼吸道及泌尿道感染是精神科医院感染控制的重点，对于发现的危险因素采取针对性的预防措施，对有效预防与控制医院感染非常重要。
목적：탐토정신과주원환자발생의원감염적위험인소，위의원감염적방공제공의거。방법채용회고성분석방법，대천진시안정의원2013년11월-2014년11월기간발생의원감염적주원환자적림상자료진행분석。결과2086례환자중공74례환자발생감염，점3.55%，감염79례차；감염환자적감염부위주요집중재비뇨도화호흡도（비뇨도30례차점37.97%，호흡도43례차점54.43%），환자년령、주원시간、병정、질병충류、기출질병、침입성조작급약물불량반응여의원감염적발생유관（P <0.05혹0.01）。년령、주원시간、침입성조작급약물불량반응시정신전과의원감염적독립위험인소。결론호흡도급비뇨도감염시정신과의원감염공제적중점，대우발현적위험인소채취침대성적예방조시，대유효예방여공제의원감염비상중요。
Objective To investigate risk factors of hospital infections for psychiatric patients,and to provide the prevention and treatment for hospital infections. Methods By using the method of retrospective analysis,we analyzed the clinical data of inpatients with hospital infections inpatients in Mental Health Center of Tianjin during November 2013 to November 2014. Results Among total 2086 patients,74 cases were diagnosed with infection,accounting for 3. 55% ,and 79 times of infections. The sites of infection were mainly in the urinary and respiratory system(30 patients with urinary tract infection,accounting for 37. 97% ,43 patients with respira-tory tract infection,accounting for 54. 43% ). Parents’age,length of stay,duration,type of disease,underlying diseases,invasive procedures and adverse drug reactions were risks factors of hospital infection(P < 0. 05 or 0. 01). Length of stay,invasive procedures and adverse drug reactions were independent risk factors of hospital infection for psychiatric patients. Conclusion Respiratory and urinary system infections are very important for psychiatric patients in hospital infection control. It’s very important to take appropriate preventive measures according to the risk factors to control hospital infections.