恶性血液病患者医院感染的临床特点及危险因素分析

详细信息    查看官网全文

• 论文作者：马风英
• 年：2016
• 作者机构：青海省西宁市第一人民医院风湿血液科;
• 论文关键词：恶性血液病 ; 感染 ; 预防
• 英文论文关键词：Hematologic malignancies ; Infection ; Prevention
• 会议召开时间：2016-11-25
• 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
• 语种：中文
• 分类号：R733;R55
• 学会代码：HNZY
• 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
• 会议地点：中国广东珠海
• 主办单位：国际数字医学会、Digital Chinese Medicine
• 学会名称：湖南中医药大学期刊杂志社
• 页数：1
• 文件大小：2082k
• 原文格式：D
• 会议级别：全国

摘要

目的:调查并分析我院恶性血液病的感染特点和危险因素,为临床合理防治提供指导。方法:随机选择我院210例恶性血液病患者,回顾分析3年内他们发生感染的部位和致病菌,并分析引起感染的危险因素。结果:210例恶性血液病患者的感染率为16.8%,淋巴细胞性白血病和粒细胞缺乏的发病率最高,为61.2%,致病菌主要以革兰氏阴性菌为主。感染与患者年龄、化疗次数、化疗后白细胞数目、住院时间等因素有关。结论:恶性血液病患者是医院感染的高发人群,医院应结合患者疾病特点制定完善的治疗和预防措施。
Objective: To investigate and analyze the characteristics of hospital infection and risk factors of hematologic malignancies in order to provide guidance for clinical prevention in ourhospital. Methods: 210 cases of patients with hematologic malignancies in our hospital were randomly selected, and the type of infection,bacteria, and infection risk factor were analyzed in the following 3 years. Results: The infection rate of 210 cases with hematologic malignancies was 16.8%, lymphocytic leukemia and neutropenia with the highest incidence, which was 61.2%, and the Gram-negativebacteria was the major pathogen. The hospital infection was related to age, the number of chemo-therapy, the number of white blood cells after chemotherapy and the period of patients in the hospital. Conclusion: Patients with hematologic malignancies had high risk of nosocomial infections, and patients with disease characteristics should be combined with well-developed treatment and preventivemeasures.

引文

[1]吴燕丹,吴少银,谢少琼,等.白血病患者医院感染的分析与控制[J].广东医学,2009,30(2):261-262.
    [2]王爱红,王占聚,唐英,等.急性白血病患者医院感染危险因素分析[J].山东医药,2011,51(27):103-104.
    [3]焦一伟,肖艰,刘桂英.119例恶性血液病患者医院感染分析[J].临床医药实践杂志,2009,18(2):112-113.
    [4]Ozdemir H,Kendirli T,Ergun H,et al.Nosocomial infections due to acineto-bacter baumannii in a pediatric intensive care unit in Turkey[J].Turk J Pediatr,2011,53(3):255-260
    [5]Sifiwaxdena AN,Gwini SM,Couplmld C.A influenza vaccination,pneumococ-cal vaccination and risk of acute myocardid infarction:matched case-control study[J].2010,182(15):1617-1623.
    [6]关瑞锋,安云凤,赵敏.血液病患者医院感染危险因素调查分析[J].中华医院感染学杂志,2009,19(6):642-643.