再生障碍性贫血病人院内感染分析
贫血,,],贫血，再生障碍性；交叉感染；数据收集,1资料与方法,2结果,3讨论,[参考文献]
[摘要] 目的 探讨再生障碍性贫血病人院内感染易感因素及预防措施。方法 对我院1994年1月～2003年12月再生障碍性贫血病人发生院内感染情况进行回顾性分析。结果 再生障碍性贫血病人院内感染率为37%，重型再生障碍性贫血病人为68%；感染好发部位为呼吸道(62%)，其次是血液、口腔等；病原菌以细菌、真菌多见；白细胞计数<1.0×109/L的病人院内感染率明显高于白细胞计数>1.0×109/L者(χ2=4.89, P<0.05)，住院时间<30 d的病人院内感染率明显低于>30 d的病人(χ2＝8.35，P<0.01)。结论 再生障碍性贫血病人易发生院内感染。感染最常见部位为呼吸道，住院时间过长、白细胞数过低易增加感染机会。应加强预防措施，尽量减少院内感染，提高病人生存率。[关键词] 贫血，再生障碍性；交叉感染；数据收集
AN ANALYSIS OF NOSOCOMIAL INFECTION IN PATIENTS WITH APLASTIC ANEMIA
LI GUANGLUN, QIN PING
(Department of Hematology, The Affiliated Hospital of Qingdao University Medical College, Qingdao 266003, China)
[ABSTRACT]ObjectiveTo investigate the predisposing factors and the preventive measures of nosocomial infection in patients with aplastic anemia(AA). MethodsThe data of nosocomial infection of AA patients admitted during Jan. 1993 to Dec. 2003 were reviewed retrospectively. ResultsThe infection rate in AA was 37% for common cases, and 68% for severe ones. The commonly seen infected parts were respiratory tract (62%), then was blood, oral cavity, and so on. The usually found pathogens were bacteria (5/8) and fungus (3/8). The infection in AA with WBC below 1.0×109/L was higher than those with WBC more than 1.0×109/L (χ2=4.89, P<0.05). Patients with longterm (>30 d) hospitalization were more easily subjected to the infection (χ2=8.35, P<0.01). ConclusionAA patients are more likely to suffer nosocomial infection. Respiratory tract is the most commonly involved. Longer hospital stay, lower WBC, both increase the infection. To improve the survival rate, it is important to strengthen preventive measures of the infection. ......
您现在查看是摘要页，全文长 5634 字符。