血液透析患者医院感染危险因素分析及预防对策

发布时间：2018-09-12 13:23

【摘要】：目的探讨血液透析患者医院感染的危险因素,并制定相关的预防策略,降低感染的发生。方法对医院2010年3月-2011年3月120例血液透析患者的临床资料进行回顾性分析,探究其发生医院感染的危险因素。结果 120例血液透析患者中有65例发生医院感染,感染率为54.2%;其中,感染部位主要为呼吸系统、泌尿系统、消化系统、循环系统、血管通路及其他,分别占30.8%、24.5%、18.5%、12.3%、7.7%、6.2%;年龄60岁、住院时间20d、血液透析时间1年、伴有糖尿病、血红蛋白60g/L、血白蛋白30g/L和伴有心力衰竭以及伴有静脉插管等均是影响感染的危险因素。结论血液透析患者发生医院感染的危险因素较多,临床中应加强对患者基础疾病的治疗,增强其机体的免疫力,规范整个操作过程,避免交叉感染,提高整体的预防效果。
[Abstract]:Objective to explore the risk factors of nosocomial infection in hemodialysis patients, and to make relevant prevention strategies to reduce the incidence of infection. Methods the clinical data of 120 hemodialysis patients from March 2010 to March 2011 were analyzed retrospectively to explore the risk factors of nosocomial infection. Results 65 out of 120 hemodialysis patients had nosocomial infection, and the infection rate was 54.2. Among them, the main infection sites were respiratory system, urinary system, digestive system, circulatory system, vascular access, and others, accounting for 30.8% 24.52.5% of 12.37.7cm, respectively, 60 years old. Hospital stay for 20 days, hemodialysis for 1 year, diabetes mellitus, hemoglobin 60 g / L, serum albumin 30g/L, heart failure and venous catheterization were risk factors for infection. Conclusion there are many risk factors for nosocomial infection in hemodialysis patients. In clinic, we should strengthen the treatment of patients with basic diseases, strengthen their immunity, standardize the whole operation process, avoid cross infection, and improve the overall preventive effect.
【作者单位】：舟山市人民医院血液净化中心;海南医学院附属医院超声科;
【基金】：舟山市医药卫生青年科技人才专项科研基金(2009B14)
【分类号】：R181.32

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