腹膜透析患者医院感染因素分析与对策

发布时间：2018-03-27 15:04

本文选题：腹膜透析　切入点：医院感染　出处：《中华医院感染学杂志》2016年13期

【摘要】：目的分析腹膜透析患者医院感染发生的原因及对策,为降低腹膜透析患者医院感染提供参考依据。方法收集2013年1月-2015年8月住院行腹膜透析治疗260例患者临床资料,记录患者性别、年龄、住院时间、腹膜透析龄、基础疾病、合并症、血红蛋白及血清白蛋白水平、有无发生医院感染及医院感染部位等资料,对所有数据采用SPSS19.0软件进行统计分析。结果 36例患者发生医院感染,感染率13.85%,感染部位主要为呼吸道占44.44%,其次为泌尿道、皮肤黏膜、腹膜、胃肠道、血液,分别占22.22%、13.90%、8.33%、8.33%、2.78%;有合并症患者医院感染率19.15%,高于无合并症患者的9.66%,多因素logistic回归分析显示,患者年龄、腹膜透析龄、血红蛋白及血清白蛋白水平低、有合并症,是患者发生医院感染的独立影响因素,差异有统计学意义(P0.05)。结论腹膜透析患者发生医院感染的影响因素较多,应针对感染相关因素进行干预,降低患者发生医院感染率。
[Abstract]:Objective to analyze the causes and countermeasures of nosocomial infection in peritoneal dialysis patients, and to provide a reference basis for reducing nosocomial infection in peritoneal dialysis patients. Methods 260 patients were treated with peritoneal dialysis from January 2013 to August 2015. Sex, age, length of stay, age of peritoneal dialysis, underlying diseases, complications, hemoglobin and serum albumin levels, nosocomial infection and nosocomial infection site were recorded. Results the nosocomial infection occurred in 36 patients, the infection rate was 13.855.Results Respiratory tract was the main infection site, followed by urinary tract, skin and mucosa, peritoneum, gastrointestinal tract and blood. The nosocomial infection rate of patients with complications was 19.15, higher than that of patients without complications 9.66.Multivariate logistic regression analysis showed that the age of the patients, the age of peritoneal dialysis, the levels of hemoglobin and serum albumin were low and complicated. Conclusion there are many influencing factors for nosocomial infection in peritoneal dialysis patients, so intervention should be carried out to reduce the nosocomial infection rate of patients with nosocomial infection.
【作者单位】：台州市中心医院肾内科;台州市中心医院院感科;
【基金】：浙江省卫生厅科技计划基金资助项目(2014ZHA014)
【分类号】：R459.5;R197.323

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