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2017-2022年某三级综合医院老年患者医院感染流行病学特征

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目的 比较某院不同年龄段老年患者医院感染流行病学特征.方法 通过医院感染实时监控系统收集某院2017年1月—2022年12月老年医院感染患者资料,按照年龄分为低龄组(60~69岁,2 002例)、中龄组(70~79岁,1 301例)和高龄组(≥80岁,449例),对不同年龄段老年患者医院感染率及病原体检出等流行病学特征进行分析.结果 该院老年患者医院感染率为1.45%,低龄组感染前住院时间长于中龄组(P<0.05);重症监护室(15.31%)和神经外科(10.05%)是感染例次发病率最高的科室;呼吸道(42.42%)、"三管"(17.13%)和血液(13.95%)感染是主要感染类型;肺炎克雷伯菌、大肠埃希菌、鲍曼不动杆菌是最常见病原体.结论 重症监护室、神经内科等科室的高龄、有创性操作患者的感染防控需加强.
Epidemiological characteristics of healthcare-associated infection in elderly patients in a tertiary general hospital from 2017 to 2022
Objective To compare the epidemiological characteristics of nosocomial infection in elderly patients of different ages in a hospital.Methods The data of elderly patients with nosocomial infection from January 2017 to December 2022 were collected through the real-time monitoring system of nosocomial infection,and they were divided into the younger age group(60-69 years old,2 002 cases),the middle-age group(70-79 years old,1 301 cases)and the older age group(≥80 years old,449 cases),and the epidemiological characteristics of elderly patients of different ages such as the incidence of nosocomial infection and the detection of pathogens were analyzed.Results The incidence of nosocomial infection in the elderly patients was 1.45%,and the hospital stay in the younger age group was longer than that in the middle-aged group(P<0.05).The intensive care unit(15.31%)and neurosurgery(10.05%)were the departments with the highest incidence of infection.Respiratory tract(42.42%),"three-tube"(17.13%)and blood(13.95%)infections were the main types of infection.Klebsiella pneumoniae,Escherichia coli,and Acinetobacter baumannii were the most common pathogens.Conclusion Infection prevention and control in elderly patients with invasive procedures in intensive care units and neurology departments need to be strengthened.

elderly patientshealthcare-associated infectiondifferent age groupsepidemiological characteristicsprevention and control measures

张鸿、罗业涛、胡田雨、陈雪娥、刘雅文、陈炜

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陆军军医大学第二附属医院,重庆 400037

老年患者 医院感染 不同年龄段 流行病学特征 防控措施

2024

中国消毒学杂志
军事医学科学院疾病预防控制所,中华预防医学会

中国消毒学杂志

CSTPCD
影响因子:0.754
ISSN:1001-7658
年,卷(期):2024.41(11)