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邹宝波 何琅 程科萍
血液病|医院感染|危险因素
作者：邹宝波 何琅 程科萍
单位：南京铁道医学院附属医院
关键词：血液病；医院感染；危险因素
临床血液学杂志990205 摘要 目的：为了探讨血液病患者院内感染危险因素。方法：采用回顾性调查方法，对68例医院感染的血液病患者进行调查分析。结果：68例病人共发生85起院内感染，感染部位以呼吸系统、皮肤和口腔为主 。感染病原菌为革兰阴性杆菌和真菌。革兰阴性杆菌对氨苄青霉素、头孢唑啉耐药率较高( 90.48%，59.09%)。白细胞下降、化疗、激素和广谱抗生素使用是院内感染的主要 危险因素。结论：为减少医院感染发生率，必须对白细胞<2×109/L的 病人进行保护性隔离，并合理使用抗生素治疗感染性疾病。
Risk Factors Analysis of Hospital Infections in Blood Disease Cases
Zou Baobo,He Lang,Cheng Keping
Affiliated Hospital of Nanjing Railway Medical College 210009
Abstract Objective:To study the risk factors of hospital infe ctions in blood disease cases.Methods:The risk factors to be a nalyzed on 68 Cases with retrospective study method.Results:85 person-times of hospital infections happened among 68 cases.The majority infec tive positions situated on respiratory system,skin and oral cavity.The major inf ective bacteria were gram-negative bacillus and fungi.Further analysis shoed th at gram-negative bacillus have a relative higher rates of drug resistance to am picillin (90.48%) and cephazoline (59.09%).The main risk factors of hosp ital infections were the WBC decline and the usage of chemotherapy,hormones and antibiotics.Conclusions: Protective isolation to the patients with a lower WBC(<20×109/L) and a right usage of antibiotics while treating infective diseases are both important for reducing the hospital infective rates. ......
单位：南京铁道医学院附属医院
关键词：血液病；医院感染；危险因素
临床血液学杂志990205 摘要 目的：为了探讨血液病患者院内感染危险因素。方法：采用回顾性调查方法，对68例医院感染的血液病患者进行调查分析。结果：68例病人共发生85起院内感染，感染部位以呼吸系统、皮肤和口腔为主 。感染病原菌为革兰阴性杆菌和真菌。革兰阴性杆菌对氨苄青霉素、头孢唑啉耐药率较高( 90.48%，59.09%)。白细胞下降、化疗、激素和广谱抗生素使用是院内感染的主要 危险因素。结论：为减少医院感染发生率，必须对白细胞<2×109/L的 病人进行保护性隔离，并合理使用抗生素治疗感染性疾病。
Risk Factors Analysis of Hospital Infections in Blood Disease Cases
Zou Baobo,He Lang,Cheng Keping
Affiliated Hospital of Nanjing Railway Medical College 210009
Abstract Objective:To study the risk factors of hospital infe ctions in blood disease cases.Methods:The risk factors to be a nalyzed on 68 Cases with retrospective study method.Results:85 person-times of hospital infections happened among 68 cases.The majority infec tive positions situated on respiratory system,skin and oral cavity.The major inf ective bacteria were gram-negative bacillus and fungi.Further analysis shoed th at gram-negative bacillus have a relative higher rates of drug resistance to am picillin (90.48%) and cephazoline (59.09%).The main risk factors of hosp ital infections were the WBC decline and the usage of chemotherapy,hormones and antibiotics.Conclusions: Protective isolation to the patients with a lower WBC(<20×109/L) and a right usage of antibiotics while treating infective diseases are both important for reducing the hospital infective rates. ......