尿毒症血液透析患者医院感染危险因素分析

发布时间：2018-03-28 05:11

本文选题：尿毒症　切入点：血液透析　出处：《中华医院感染学杂志》2014年02期

【摘要】：目的探讨尿毒症血液透析患者医院感染的发生及引起感染的危险因素,旨在预防及降低尿毒症血液透析患者医院感染的发生。方法回顾性分析208例尿毒症维持性血液透析患者的临床资料,分析尿毒症血液透析患者医院感染的危险因素。结果 208例患者发生医院感染63例、101例次,医院感染率30.29%、例次感染率48.56%,其中多重感染23例;感染部位以呼吸道为主,占52.48%,其次为泌尿道、透析导管、胃肠道、皮肤及软组织感染;患者的年龄、体质量指数、糖尿病肾病、住院时间、血清白蛋白、血红蛋白、C-反应蛋白与患者发生医院感染有关(P0.05),多因素logistic回归分析结果显示,患者年龄、体质量指数、糖尿病肾病、住院时间、血清白蛋白、血红蛋白是引起患者发生医院感染的独立危险因素(P0.05)。结论引起尿毒症血液透析患者发生医院感染的危险因素较多,应针对危险因素进行干预以降低医院感染的发生。
[Abstract]:Objective to investigate the incidence of nosocomial infection in patients with uremia and its risk factors. To prevent and reduce nosocomial infection in patients with uremia hemodialysis methods the clinical data of 208 patients with uremia maintenance hemodialysis were analyzed retrospectively. Results among 208 patients with hemodialysis, the nosocomial infection occurred 101 times, the nosocomial infection rate was 30.29%, the infection rate was 48.56 times, 23 cases were multiple infection, and the main infection site was respiratory tract, and the risk factors of nosocomial infection in patients with uremia hemodialysis were analyzed. 52.48%, followed by urinary tract, dialysis catheter, gastrointestinal tract, skin and soft tissue infection, age, body mass index, diabetic nephropathy, length of stay, serum albumin, Hemoglobin C reactive protein was associated with nosocomial infection (P 0.05). Multivariate logistic regression analysis showed that age, body mass index, diabetic nephropathy, length of stay, serum albumin, and so on. Hemoglobin is an independent risk factor for nosocomial infection in patients with uremia. Conclusion there are many risk factors for nosocomial infection in uremic hemodialysis patients. Intervention should be carried out to reduce nosocomial infection.
【作者单位】：郑州大学第一附属医院肾内科;
【基金】：河南省教育厅科技攻关项目(JP-2008A320049)
【分类号】：R181.32

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