Lung Infection in Aged Patients with Gastrogavage at Home / 中华医院感染学杂志

OBJECTIVE To investigate the cause and and prevention experience of lung infection in the aged patients with gastrogavage at home.METHODS Retrospective analysis of lung infection was proceeded in 108 aged patients with gastrogavage at home during three years.RESULTS Among 108 patients with gastrogavage at home 83 patients developed infection in which 69 patients developed lung infection.For the aged patients with gastrogavage at home,inspiration and increasing incidence of retrograde infection from stomach to pharynx and lower respiratory tract were the main causes in developing lung infection.Moreover the lower immunity status,catching cold,changing the stomach tube not on time were the related risk factors in developing lung infection.CONCLUSIONS Enhancing the prevention of respiratory tract infection,increasing the nutrition,changing the stomach tube in time and prevention education would effectively decrease the incidence of infection and enhance the rehabilitation.

Acquired Lung Infection in Patients with Indwelling Stomach Tube:Clinical Analysis / 中华医院感染学杂志

OBJECTIVE To investigate the cause and prevention experience of acquired lung infection(ALI) in neurological medicine department for patients with indwelling stomach tube.METHODS Retrospective analysis proceeded for all patients with indwelling stomach tube in recently two years.RESULTS Among 113 patients,87 patients developed hospital infection in which 57 patients with indwelling stomach tube developed ALI,that occupied 65.52% of total patients developing hospital infection.CONCLUSIONS For the patients with indwelling stomach tube,inspiration and increasing incidence of retrograde infection from stomach to pharynx and lower respiratory tract in sequence are the main causes developing ALI.In addition,the use of anti-acid drugs,the unreasonable use of antibiotics,and the patients immunity status are the related factors developing ALI.Enhancement of prevention of respiratory tract infection in neurological medicine department for patients with indwelling stomach tube would effectively decrease the incidence of infection and enhance rehabilitation.

Nosocomial Infection among 656 Acute Cerebral Vascular Accident Cases / 中华医院感染学杂志

OBJECTIVE To investigate the nosocomial infection circumstance in the acute cerebral vascular accident(CVA) in recently two years,and explore the risk factors of nosocomial infection,so that can obtain the methods of controlling the infection.METHODS An restrospective analysis of nosocomial infection circumstance had been accomplished among 656 acute CVA cases from our department ward from Jul 2004 to Jun 2006.RESULTS It was showed cases with nosocomial infection were found among 656 cases.The nosocomial infection rate was 32.67% among inpatients of acute CVA.Nosocomial infection mostly took place within the first 2 weeks after patients hospitalized.Among inpatients with nosocomial infection,the lower respiratory tract infection was the highest(59.15%),the second one was the urinary tract(16.90%).Pathogenic bacteria were mostly the conditional ones.Nosocomial infection was closely related with such factors as the invasive operation,disorder of consciousness,diabetes,age,chronic bronchitis,antibiotic prophylaxis,hospitalization days,and plasma total protein.CONCLUSIONS Nosocomial infection is still a high frequent complication in acute CVA and those related factors should be paid attenion.It is the most important step for the effective control of nosocomial infection and rehabilitation of acute CVA.