恶性血液病合并感染临床分析
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张燕香

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R552

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Infections associated with hematological malignancies
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    摘要:

    目的探讨恶性血液病患者感染的发生、转归及病原菌分布。方法回顾性调查某院血液科2000年1月—2008年8月间980例恶性血液病住院患者发生细菌和真菌感染的情况。结果980例恶性血液病患者中,463例(47.24%)发生感染,其中社区感染者138例(29.81%),医院感染者325例(70.19%)。在医院感染病原体中,革兰阴性(G-)杆菌387株(55.68%),革兰阳性(G+)球菌194株(27.91%),真菌114株(16.40%)。最常见的感染部位为上呼吸道(35.06%)和下呼吸道(16.36%)。中性粒细胞的绝对计数越低,感染发生的概率越大(P<0.05);住院时间延长,感染率增高(P<0.05)。结论恶性血液病患者感染率高,以医院感染为主;分离细菌以G-菌为主;患者中性粒细胞计数、住院时间与感染的发生相关。

    Abstract:

    [Abstract]ObjectiveTo investigate the occurrence, prognosis and pathogenic distribution of  infections associated with hematological malignancies.MethodsInfections  in  980 inpatients with hematological malignancies between  January,2000 and August, 2008 were analyzed retrospectively. ResultsAmong 980 inpatients,463(47.24% )cases of infections developed,138 (29.81%) of which were communityacquired infections, 325(70.19%) were  nosocomial infections (NI). Among pathogens causing NI, 387 (55.68%) strains  were gramnegative bacilli, 194 (27.91%)   were grampositive cocci,114(16.40%) were  fungi. Infections occurred most frequently in upper respiratory tract(35.06%) and lower respiratory tract(16.36%). The fewer neutrophil counts were, the more infections developed (P<0.05); infection increased with the  prolongation of hospital stay (P<0.05). ConclusionPatients with hematological malignancies have high infection rates, the majority are NI; the main pathogens are  gramnegative bacilli ;infections are associated with neutrophil counts and hospital stay.

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张燕香,魏蓉,孟月生.恶性血液病合并感染临床分析[J]. 中国感染控制杂志,2009,8(4):255-257.
ZHANG Yanxiang, WEI Rong, MENG Yuesheng. Infections associated with hematological malignancies[J]. Chin J Infect Control, 2009,8(4):255-257.

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  • 收稿日期:2008-12-23
  • 最后修改日期:2009-02-22
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  • 在线发布日期: 2009-07-30
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