老年精神病患者医院感染目标性监测分析

发布时间：2018-07-25 16:44

【摘要】：目的探讨老年精神病患者发生医院感染的危险因素,为医院制定相关感染的控制措施提供依据。方法回顾性分析2012年1月-2012年12月收治的873例老年精神病患者发生医院感染及其危险因素,医院感染管理科予以目标性监测方案的制定以及实施,并设计统计调查表,监控员则由专职的感染管理科工作者对其进行实施方案的培训,两者共同观察监测对象,督导措施是否落实,对发生医院感染的病例进行前瞻性调查;采用SPSS13.0软件进行统计分析。结果 873例老年精神病患者发生医院感染50例,感染率5.7%;春季感染10例,感染率为4.4%,夏季感染19例,感染率为8.9%,秋季感染9例,感染率为3.9%,冬季感染12例,感染率为6.0%,夏冬季与春秋季感染率比较差异有统计学意义(P0.05);发生感染的部位以呼吸道为主占72.0%,尤其是下呼吸道占50.0%,其次为泌尿道占14.0%,皮肤软组织占8.0%;发生医院感染的50例患者中联用两种抗菌药物治疗的占52.3%,三联应用占4.6%。结论老年精神病患者发生医院感染的相关危险因素较多,对其予以目标性监测,并针对各项危险因素实施早期干预,能有效降低医院感染率。
[Abstract]:Objective to explore the risk factors of nosocomial infection in elderly patients with mental illness, and to provide evidence for the control of nosocomial infection. Methods Nosocomial infection and its risk factors were analyzed retrospectively in 873 elderly psychiatric patients admitted from January 2012 to December 2012. The hospital infection management department made and implemented the targeted monitoring program and designed a statistical questionnaire. The monitors were trained by full-time infection management department workers to observe the monitoring objects, supervise whether the measures were carried out, and carry out prospective investigation on the cases of nosocomial infection. SPSS13.0 software was used for statistical analysis. Results there were 50 cases of nosocomial infection in 873 cases of senile psychosis, 10 cases of spring infection, 19 cases of summer infection, 9 cases of autumn infection, 3.9 cases of winter infection, 12 cases of winter infection, 10 cases of spring infection, 19 cases of summer infection, 9 cases of autumn infection and 12 cases of winter infection. The infection rate was 6.0, the infection rate in summer and winter was significantly different from that in spring and autumn (P0.05), the infection occurred mainly in respiratory tract (72.0%), especially in lower respiratory tract (50.0%), followed by urinary tract (14.0%), skin and soft tissue (8.0%), nosocomial feeling. Of the 50 patients, 52.3 were treated with two antibiotics, and 4.6 were treated with triple therapy. Conclusion there are many risk factors associated with nosocomial infection in elderly patients with mental illness. It is possible to effectively reduce the nosocomial infection rate by means of targeted monitoring and early intervention in allusion to various risk factors.
【作者单位】：莱芜市荣军医院精神科;
【基金】：莱芜市科技局基金资助项目(2012166)
【分类号】：R181.32

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