60岁以上老年精神疾病患者院内感染病原菌分布特征及影响因素分析

doi:10.3969/j.issn.1006-5253.2019.01.014

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Abstract Objective To investigate the pathogenic bacteria distribution and the influencing factors of nosocomial infection in patients with mental illness over 60 years old.Methods Review method was used to analyze 1 806 psychiatric patients, and according to the period of nosocomial infection, the infection of 1 806 patients were divided into the infection group (88 cases) and the non-infection group (1 718 cases). The incidence of nosocomial infection and pathogen distribution of psychotic patients were observed and analyzed, and at the same time single factor and multiple factors were used to screen related risk factors for nosocomial infection.Results Among the 1 806 psychiatric patients, the incidence of nosocomial infection was 4.87% (88/1 806), and the main infection site was urinary tract infection and respiratory tract infection. Among the 88 infected patients, 8 pathogenic bacteria were isolated and cultured, with 16 strains, and the positive detection rate was 18.18% (16/88), among which 4 strains of gram-positive bacillus accounted for 25.00%. 12 strains of gram-negative bacillus accounted for 75.00%, and shigella infection was common. Through unconditioned Logistic multi-factor analysis, adverse drug reactions (OR=5.233, P=0.025), combined basic diseases (OR=4.406, P=0.031) and invasive operations (OR=5.590, P=0.030) were the main risk factors for nosocomial infection in patients with mental illness.Conclusion Gram negative bacteria are the main pathogenic bacteria in nosocomial infection of elderly psychiatric patients with a greater incidence of nosocomial infection, mainly in the urinary tract and respiratory tract. According to related risk factors, we should improve the quality and skills of nursing staff, strengthen the prevention and treatment of underlying diseases, reduce drug adverse reactions, and then reduce the nosocomial infection occurrence.

Key words： mental illness old age pathogenic bacteria risk factor intervention

Received: 22 November 2018

PACS:	R195.4
	R749

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	Ye Xiaojie
	Ji Xianqiong

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Ye Xiaojie,Ji Xianqiong. Study on pathogenic bacteria characteristics and influencing factors of nosocomial infection in aged patients over 60 years old[J]. journal1, 2019, 26(1): 50-52.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2019.01.014 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2019/V26/I1/50

[1] 陈红,赵汉清,沈嘉懿,等.精神病患者医院感染的影响因素分析[J].中华医院感染学杂志,2017,27(2):341-344.
[2] 艾源,张弢,任晓辉.我国医院感染现状与控制的进展[J].中华医院感染学杂志,2015,25(5):1198-1200.
[3] 张英娣,庄妙红,杜荣荣,等.老年精神病患者医院感染现状调查及相关因素分析[J].护理与康复,2017,16(6):623-625.
[4] 高明晓,李英,周丽华,等.某三级甲等综合医院心内科医院感染目标性监测结果分析[J].中国医院统计,2016,23(3):173-175.
[5] SOPENA N,HER AS E,CASAS I,et al.Risk factors for hospital-ac-quired pneumonia outside the intensive care unit: a case-control study[J].An J Infect Control,2014,42(1):38-42.
[6] 中华人民共和国卫生部.医院感染诊断标准(试行) [J].中华医学杂志,2001,81(5):314-320.
[7] 王玉芬,李素芝,曹静,等.住院老年精神病患者医院感染因素分析及对策[J].天津护理,2015,23(3):239-240.
[8] ZHANG YJ,ZHANG D,ZOU JM,et al. Investigation and analysis of preva-lence of nosocomial infections in patients of mental hospital[J].Chinese Journal of Nosocomiology,2015,20(3):16120-16122.
[9] 王新友,王领军,李艳丽,等.老年精神病患者呼吸道感染的病原菌分布与耐药性分析[J].中华医院感染学杂志,2015,24(13):2954-2956.
[10]吴焕成,梁海乾,孙洪涛,等.神经外科手术患者院内感染的相关因素分析[J].中华实验和临床感染病杂志电子版,2015,9(6):14-17.
[11]李田妹,刘哲宁,柯峥,等.重性精神病患者入院初期处置分析[J].国际精神病学杂志,2015,41(1):364-366.
[12]陈霞,王江涛,杜妍,等. 2010-2013 年某三甲医院精神疾病患者流行病调查研究[J].国际精神病学杂志,2015,41(3):46-48.
[13]何水红,马丽娜,俞惠波,等.长期住院老年精神病患者心理问题护理方法探讨[J].国际精神病学杂志,2015,41(4):66-69.
[14]龚霞,蒋寒燕,余芳.基层医院神经内科医院感染影响因素及抗生素使用情况调查[J].中国医院统计,2017,24(3):221-223.
[15]袁朝霞,章秋萍,盛志娟,等.老年精神病患者医院感染原因分析及预见性干预方案[J].中华医院感染学杂志,2016,26(6):1377-1379.