Vannetzel J M
Clinique Hartmann, 26, boulevard Victor-Hugo, 92200 Neuilly-sur-Seine, France.
Pathol Biol (Paris). 2000 Oct;48(8):721-4.
Although not specific, nosocomial infections are particularly common in patients with solid tumor. Chemotherapy-induced time periods of aplasia are usually of short duration and less important than those induced in patients with blood tumor. Recent changes regarding cancer therapy are determining factors in regard to nosocomial infections: patients are treated in day hospitals that must conform to the strictest prevention norms; most of the patients have an indwelling venous catheter for months, which may therefore be at the origin of an infection. Prevention and education of the nursing staff within the context of a heavy workload must be a priority, requiring efforts from everyone in the medical team.
尽管不具有特异性,但医院感染在实体瘤患者中尤为常见。化疗引起的再生障碍期通常持续时间较短,且不如血液肿瘤患者所引起的再生障碍期那么重要。癌症治疗方面的最新变化是医院感染的决定因素:患者在日间医院接受治疗,日间医院必须符合最严格的预防规范;大多数患者会留置静脉导管数月,因此这可能是感染的源头。在工作量繁重的情况下,对护理人员的预防和教育必须成为优先事项,这需要医疗团队中的每个人付出努力。