ICU医院感染危险因素及综合护理措施对预后的影响

发布时间：2018-06-29 08:03

  本文选题：ICU + 感染　； 参考：《中华医院感染学杂志》2017年12期

【摘要】：目的分析ICU医院感染危险因素及护理措施与患者预后的关系,为改进医院感染预防控制措施提供有力依据。方法收集2013-2015年转入ICU患者564例,发生医院感染153例,分析其感染因素,采用多因素logistic回归筛选出独立危险因素。结果 564例患者中共153例患者发生感染,感染率为27.13%;多因素分析显示,APACHEⅡ评分≥20、中心静脉插管、使用呼吸机、感染持续时间5d、手术持续时间4h、Ⅲ类手术切口、≥2种插管、呼吸系统感染、2种病原菌感染、ICU住院时间10d是发生感染的独立危险因素(P0.05)。结论对应独立危险因素做出预防对策;应每日评估感染情况,加强患者感染防治教育,专门指定医护人员管护中度和轻度残疾患者,及时协助患者翻身和清理病床污物,提高综合护理落实率。
[Abstract]:Objective to analyze the risk factors of nosocomial infection in ICU and the relationship between nursing measures and the prognosis of the patients, and to provide an effective basis for improving the prevention and control measures of nosocomial infection. Methods 564 patients transferred to ICU from 2013 to 2015 were collected and 153 cases of nosocomial infection were collected. The infection factors were analyzed and the independent risk factors were screened by multivariate logistic regression. Results the infection rate was 27.13% in 153 cases of 564 patients, and multivariate analysis showed that Apache 鈪，

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