摘要
目的探讨肺癌住院患者发生医院感染的因素及防治方法。方法回顾性分析658例肺癌患者住院期间发生医院感染的情况。结果发生医院感染69例,医院感染率10.2%;感染部位以下呼吸道和肺部为主;其病原菌依次为革兰阴性杆菌、革兰阳性球菌和真菌。年龄、一般状态、基础病、住院时间、放化疗引起白细胞减少、TNM分期、侵入性操作及预防性应用抗生素等是造成医院感染的主要危险因素。结论医院感染是肺癌患者常见并发症和主要死亡原因,应加强对肺癌患者医院感染的预防管理和控制。
Objective To investigate the related factors of hospital infection inpatients with lung cancers,and provide evidence for clinical treatment and prevention.Methods 658 cases of inpatients with lung cancers were retrospectively analysed for the situation of hospital infection.Results Hospital infections happened in 69 cases,with the hospital infection rate of 10.2%,and the pathogens were Gram-negative bacteria,Gram-positive organisms,and fungus;the common sites were lower respiratory tract and lung.Elderly patients,perform status,underlaying disease,hospital stays,neutropenia caused by radiotherapy and chemotherapy,TNM Clinical Staging,invaded operation and prophylactic use of antibiotics were the main risk factors of hospital infection.Conclusion The lung cancer inpatients are the susceptible population,and have a high incidence of hospital infection.Medical staff should pay more attention to the related factors of hospital infection,and should take more positive and effective measures to prevent hospital infection.
出处
《实用癌症杂志》
2013年第1期49-50,55,共3页
The Practical Journal of Cancer
关键词
肺癌
医院感染
Lung cancer
Hospital infection
