肺结核患者医院感染易感因素分析

发布时间：2018-11-24 21:21

【摘要】：目的探讨肺结核患者发生医院感染的易感因素,制定预防对策,为预防肺结核医院感染提供指导。方法选择2012年6月-2013年6月的316例肺结核患者作为研究对象,统计出现医院感染的病例数,分析患者的临床资料,探讨肺结核患者发生医院感染的危险因素。结果 316例肺结核患者发生医院感染30例,感染率9.49%;医院感染部位以下呼吸道为主,感染16例,占53.33%,其次为泌尿道和胃肠道,分别占20.00%和13.33%;年龄≥60岁患者感染率为14.96%、60岁的为5.82%,住院时间≥15d的患者感染率为12.88%、15d的感染率为7.07%,应用多种抗菌药物的患者感染率为14.06%,未应用多种抗菌药物的为6.38%,有并发症的患者感染率为12.70%,无并发症患者感染率为7.37%,实施侵入性操作的患者感染率为20.27%、未实施为6.20%;年龄≥60岁、住院时间≥15d、合并其他疾病、侵入性操作、应用多种抗菌药物等为肺结核患者医院感染危险因素(P0.05)。结论高龄、住院时间长、抗菌药物应用多种、伴有其他疾病、侵入性操作等为肺结核患者发生医院感染的易感因素,应采取针对性的预防对策降低其医院感染率。
[Abstract]:Objective to explore the susceptible factors of nosocomial infection in pulmonary tuberculosis patients and to provide guidance for the prevention of nosocomial infection. Methods 316 patients with pulmonary tuberculosis from June 2012 to June 2013 were selected as the study objects. The number of nosocomial infection cases was counted, the clinical data of the patients were analyzed, and the risk factors of nosocomial infection in pulmonary tuberculosis patients were discussed. Results there were 30 cases of nosocomial infection (9.49%) in 316 cases of pulmonary tuberculosis, 16 cases (53.33%) of respiratory tract under nosocomial infection, 20.00% of urinary tract and 13.33% of gastrointestinal tract, respectively. The infection rate of patients over 60 years old was 5.82. The infection rate of patients who were hospitalized for more than 15 days was 12.88. The infection rate of patients with multiple antibiotics was 7.07. The infection rate of patients with multiple antimicrobial agents was 14.060.The infection rate of patients aged more than 60 years was 5.82, the infection rate of patients who were hospitalized for more than 15 days was 12.88 and 15 days. The infection rate of the patients with complications was 12.700.The infection rate of the patients without complications was 7.37. the infection rate of the patients with invasive operation was 20.27, and that of the patients without complications was 6.20. Age 鈮，

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