Nosocomial Pneumonia and Its Clinical Analysis / 中华医院感染学杂志

OBJECTIVE To investigate the clinical and etiology characteristics of nosocomial pneumonia. METHODS Patients with nosocomial pneumonia from Jan 2003 to Nov 2003 were chosen to be analyzed. RESULTS There were 241 patients with nosocomial pneumonia,the incidence rate of the nosocomial pneumonia in nosocomial infection patients was 41.77%,and the incidence rate of males was much higher than females(1.87∶1),and it was 43.15% in old person among patients with nosocomial pneumonia which was much higher than others,58.72% patients began to have the symptoms in the first 20 days from the day they accessed the hospital,the incidence rate of patients who had been treated by one antibiotic or two antibiotics combination,Immunosuppressors or glucocorticoids drugs were all higher than 50%,the incidence rate of patients who treated by radiotherapy,chemotherapy,thorax-abdomen operations,tracheotomy and ventilator were also quite high,the main pathogens were Gram-negative bacilli(63.95%). CONCLUSIONS We should make heavier prevention and treatment measures in front of target population and their high risk factors and the related rings,so that we can get the real effects.

Nosocomial Infection in Pancreas Surgery:An Investigation and Analysis / 中华医院感染学杂志

OBJECTIVE To investigate status of nosocomial infection in pancreas surgery of our hospital.METHODS The inpatient cases of pancreas surgery from Jan to Dec 2005 were prospectively and retrospectively surveyed.RESULTS Of the nosocomial infections,surgical site infection and the pulmonary infection were very prominent(78.2%),of the isolated strains the rate of bacterial pathogens was 85.90% and the rate of fungi was 14.10%,all strains were human normal intestinal bacterial species,the highest rate of infection was from patients with severe pancreatitis(29.41%),the pancreas surgery had higher multiple infection proportion(38.78%).CONCLUSIONS Rational application of antibiotic,intraoperative aseptic manipulation,short time operation,unobstructed drainage,prevention and timely treatment of pancreatic fistula and intraperitoneal hemorrhage,are the effective measures for the patients with pancreas surgery.