急性心肌梗死患者医院感染危险因素分析及对策

发布时间：2018-11-09 13:48

【摘要】：目的研究急性心肌梗死患者医院感染的流行病学特征,分析其危险因素及预防策略,以期为急性心肌梗死患者医院感染的预防提供参考依据。方法采用横断面研究法,调查2013年12月-2015年9月317例急性心肌梗死住院患者临床资料、医院感染率以及医院感染流行病学特征;根据感染的特点,对多项可能的急性心肌梗死患者医院感染危险因素进行单因素和多因素分析。结果 317例急性心肌梗死患者共发生感染37例、41例次,医院感染率为11.67%;感染部位以呼吸道为主,共发生25例次,占60.98%;单因素分析结果显示,年龄、住院天数、糖尿病、慢性阻塞性肺疾病、心功能等级、预防性应用抗菌药物等是影响患者医院感染的危险因素,经非条件logistic回归分析结果显示,年龄≥60岁、住院天数≥7d、合并糖尿病、合并慢性阻塞性肺疾病、心功能等级Ⅲ~Ⅵ等为急性心肌梗死患者发生医院感染的独立危险因素。结论急性心肌梗死患者医院感染的高危险因素有高龄、合并基础疾病、心功能差等,针对这些人群应提前采取预防措施以降低医院感染的发生率。
[Abstract]:Objective to study the epidemiological characteristics of nosocomial infection in patients with acute myocardial infarction and analyze its risk factors and prevention strategies in order to provide reference for the prevention of nosocomial infection in patients with acute myocardial infarction. Methods the clinical data, nosocomial infection rate and the epidemiological characteristics of nosocomial infection in 317 inpatients with acute myocardial infarction from December 2013 to September 2015 were investigated by cross-sectional study. According to the characteristics of infection, univariate and multivariate analysis was carried out on the risk factors of nosocomial infection in patients with acute myocardial infarction. Results in 317 patients with acute myocardial infarction, there were 37 cases of infection, 41 times of infection, the nosocomial infection rate was 11.677.Respiratory tract was the main site of infection, 25 cases (60.98%). Univariate analysis showed that age, length of stay in hospital, diabetes, chronic obstructive pulmonary disease, cardiac function grade and prophylactic use of antibiotics were the risk factors of nosocomial infection. Age 鈮，

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