肿瘤患者放疗后医院感染的危险因素分析

郭仲卿; 安星; 杨超

doi:10.7619/jcmp.201908023

肿瘤患者放疗后医院感染的危险因素分析

Analysis on risk factors of noscomial infectionfollowing radiotherapy in tumor patients

摘要

摘要:
目的探讨肿瘤患者放疗后发生医院感染的影响因素。
方法选择放疗科收治的1 000例放疗患者作为研究对象，分析发生医院感染的相关影响因素。
结果 1 000例癌症放疗患者发生医院感染68例，感染率为6.8%, 感染部位以呼吸道和肺部为主，分别占29.41%和26.47%; 年龄≥65岁、有糖尿病史、住院时间≥30 d、TNM分期Ⅲ~Ⅳ期、同步放化疗、有侵入操作(PICC)均为发生放疗后感染的相关危险因素(P < 0.05或P < 0.01)。
结论肿瘤患者放疗后发生医院感染的危险因素较多，应做好相应的预防与控制措施，以降低医院感染发生率。

Abstract:
Objective To analyze risk factors of nosocomial infections in cancer patients after undergoing radiotherapy.
Methods A total of 1 000 tumor patients receiving radiotherapy were chosen as the study objects. The related factors of nosocomial infections were analyzed.
Results Out of 1 000 tumor patients, there were 68 cases with nosocomial infections, accounting for 6.8%, and the infections were mainly located in respiratory tract (29.41%), and lungs (26.47%). Age≥65, diabetes history, hospital stay≥30 d, Ⅲ to Ⅳ stages of TNM classification, simultaneous radiotherpy and chemotherapy, and invasive operation(PICC) were found to be risk factors of nosocomial infection (P < 0.05 or P < 0.01).
Conclusion Risk factors of nosocomial infections are varied. Hence the prevention and control measures should be taken correspondingly to decrease the hospital infection rate.

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