肺癌328例医院感染分析

    Analysis of nosocomial infection in lung cancer patients:report of 328 cases

    • 摘要: 目的:分析肺癌患者医院感染的相关因素、病原菌分布及耐药性特点,以便采取有效的控制措施,提供合理用药依据。方法:对328例肺癌患者发生的医院感染状况进行回顾性分析。结果:328例肺癌患者中发生医院感染63例,96例次,医院感染率为19.21%,例次感染率为29.27%。同期住院患者医院感染率为4.26%。且感染多发于肺癌中晚期,严重营养不良、合并基础疾病、侵袭性操作等为重要易感因素。共送检标本142份,检出病原菌96株,其中,G-杆菌63株,G+球菌24株,真菌9株。感染部位以下呼吸道为首,其次为消化道。结论:肺癌患者医院感染发生率高,易感因素诸多,主要感染部位是下呼吸道,病原菌以G-杆菌为主,细菌耐药率明显升高。应合理应用抗菌药物,减少医院感染和耐药性发生。

       

      Abstract: Objective: To analyze the related factors of nosocomial infection,the pathogen distribution and drug resistance in patients with lung cancer,so as to take effective measures and provide basis for rational use of drugs.Methods: The nosocomial infection in 328 cases of lung cancer patients were analyzed retrospectively.Results: Among the 328 cases of lung cancer,nosocomial infection occurred in 63 cases,and 96 times,with a rate of 19.21% (in cases) and 29.27% (in times),respectively;while it was 4.26% in other patients in the corresponding period of time.The infection mostly occurred in patients with lung cancer at the intermediate stage and the terminal stage.Severe malnutrition,complications and invasive operation were the predominant susceptibility factors.A total of 142 samples were submitted to detection,and pathogens were detected in 96 of them including 63 strains of G- bacillus,24 strains of G+ cocci and 9 strains of fungi.The infection occurred mainly in the lower respiratory tract,and secondly in the digestive tract.Conclusions: There is a high incidence of nosocomial infection in patients with lung cancer.Susceptibility factors are varied.The main site of infection is the lower respiratory tract;the dominating pathogenic bacteria are G- bacillus;bacterial resistance increases significantly.Rational use of antimicrobial agents may reduce the incidence of nosocomial infections and drug resistance.

       

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