老年肺癌患者医院感染及其危险因素分析
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郑珊红

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R734.2

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Healthcareassociated infection and risk factors in elderly lung cancer patients
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    摘要:

    目的探讨老年肺癌住院患者发生医院感染的情况及其危险因素。方法对某院肿瘤科2006年5月—2011年5月年龄≥60岁的肺癌住院患者病历资料进行分析。结果324例老年肺癌患者发生医院感染63例,医院感染率为19.44%;医院感染病原菌以革兰阴性杆菌为主(37株,58.73%),其次为革兰阳性球菌(20株,31.75%),真菌占9.52%(6株);感染部位以呼吸道和口腔为主,构成比分别为47.62%(30例)、17.46%(11例)。单因素分析结果显示,TNM分期、侵入性操作、抗肿瘤治疗、吸烟、合并基础疾病是老年肺癌患者发生医院感染的危险因素(P<0.05)。结论老年肺癌患者医院感染率较高,应针对其危险因素重点防控。

    Abstract:

    ObjectiveTo explore healthcareassociated infection(HAI) and risk factors in elderly lung cancer patients.MethodsMedical data of lung cancer patients aged≥60 years in a tumor hospital between May 2006 and May 2011 were analyzed retrospectively.ResultsOf 324 patients,63 (19.44%) developed HAI,the major pathogens were gramnegative bacilli (37 isolates, 58.73%), the next were grampositive cocci (20 isolates, 31.75%), fungi accounted for 9.52% (6 isolates); the main infection sites were respiratory tract and oral cavity,the constituent ratio was 47.62%(30 cases) and 17.46%(11 cases) retrospectively. Univariate analysis revealed that the stage of TNM, invasive operation, antitumor therapy, smoking and associated underlying diseases were related risk factors for HAI in elderly patients with lung cancer(P<0.05).ConclusionHAI in elderly lung cancer patients is high, prevention and control should be taken according to related risk factors.

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郑珊红.老年肺癌患者医院感染及其危险因素分析[J]. 中国感染控制杂志,2012,11(5):355-356.
ZHENG Shanhong. Healthcareassociated infection and risk factors in elderly lung cancer patients[J]. Chin J Infect Control, 2012,11(5):355-356.

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  • 收稿日期:2012-01-12
  • 最后修改日期:2012-03-22
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  • 在线发布日期: 2012-09-30
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