精神科住院患者发生医院感染的临床分析

摘要

Objective To investigate risk factors of hospital infections for psychiatric patients,and to provide the prevention and treatment for hospital infections. Methods By using the method of retrospective analysis,we analyzed the clinical data of inpatients with hospital infections inpatients in Mental Health Center of Tianjin during November 2013 to November 2014. Results Among total 2086 patients,74 cases were diagnosed with infection,accounting for 3. 55% ,and 79 times of infections. The sites of infection were mainly in the urinary and respiratory system(30 patients with urinary tract infection,accounting for 37. 97% ,43 patients with respira-tory tract infection,accounting for 54. 43% ). Parents’age,length of stay,duration,type of disease,underlying diseases,invasive procedures and adverse drug reactions were risks factors of hospital infection(P < 0. 05 or 0. 01). Length of stay,invasive procedures and adverse drug reactions were independent risk factors of hospital infection for psychiatric patients. Conclusion Respiratory and urinary system infections are very important for psychiatric patients in hospital infection control. It’s very important to take appropriate preventive measures according to the risk factors to control hospital infections.%目的：探讨精神科住院患者发生医院感染的危险因素，为医院感染的防控提供依据。方法采用回顾性分析方法，对天津市安定医院2013年11月-2014年11月期间发生医院感染的住院患者的临床资料进行分析。结果2086例患者中共74例患者发生感染，占3.55%，感染79例次；感染患者的感染部位主要集中在泌尿道和呼吸道（泌尿道30例次占37.97%，呼吸道43例次占54.43%），患者年龄、住院时间、病程、疾病种类、基础疾病、侵入性操作及药物不良反应与医院感染的发生有关（P <0.05或0.01）。年龄、住院时间、侵入性操作及药物不良反应是精神专科医院感染的独立危险因素。结论呼吸道及泌尿道感染是精神科医院感染控制的重点，对于发现的危险因素采取针对性的预防措施，对有效预防与控制医院感染非常重要。