目的对抑郁症患者医院感染的相关因素进行调查分析,以探讨控制感染的相关对策,从而有效地降低抑郁患者医院感染的发生。方法对医院2010年1月一2012年1月的200例抑郁症患者的临床资料进行回顾性分析,观察患者住院期间发生感染的情况,数据均采用SPSS11.0软件进行统计分析。结果200例患者中有18例发生医院感染,感染率为9.00%;感染部位主要集中于呼吸道、胃肠道、泌尿道以及皮肤等其他组织部位,其中呼吸道、胃肠道和泌尿道分别占38.89%、33.33%和16.66%;18例患者共分离出22株病原菌,其中革兰阴性菌占72.73%,革兰阳性菌占22.73%,真菌1株占4.54%;医院感染危险因素主要是患者年龄、是否有基础疾病、意识状态、住院季节、住院天数、广谱抗菌药物的使用及侵入性操作。结论抑郁症患者医院感染的危险因素众多,以呼吸道和消化道多见,需要进行加强管理,采取干预措施,做好防治工作。
OBJECTIVE To survey and analyze the related factors of hospital infections in patients with depression, as well as the relevant countermeasures to control infections, so as to effectively reduce hospital infections in patients with depression. METHODS The clinical data of 200 depression patients in our hospital in Jan. 2010- Jan. 2012 were retrospectively analyzed, the infections of patients during hospitalization was observed and data were analyzed by SPSS 11.0. RESULTS In 200 patients, 18 cases occurred hospital infections, the infection rate was 9% ; the main infection sites were respiratory tract, gastrointestinal tract, urinary tract and skin and other tissues, the infections in respiratory, gastrointestinal and urinary tract accounted for 38. 89%, 33. 33% and 16.66 %. Totally 22 strains of bacteria were isolated from 18 patients. Among them gram-negative bacilli accoun- ted for 72.73%, gram-positive bacteria accounted for 22.73%, 1 strain of fungi accounted for 4.54%%. The main risk factors of hospital infections were age, basic disease, state of consciousness, the season of hospitalization, hospitalization days, the use of broad-spectrum antibiotics and invasive operation. CONCLUSION There are many risk factors of hospital infections of depression patients. Infections are commonly seen in respiratory and digestive tract, clinicians need to strengthen management, intervention, and prevention work to prevent infections.