肾内科血液透析患者医院感染的特点分析

发布时间：2018-01-07 05:02

  本文关键词：肾内科血液透析患者医院感染的特点分析　出处：《中华医院感染学杂志》2015年09期 　论文类型：期刊论文

  更多相关文章： 血液透析 医院感染 特点分析

【摘要】：目的分析肾内科血液透析患者医院感染的特点,为医院感染的预防及控制提供参考依据。方法选取了2011年5月-2013年3月肾内科接受血液透析的324例患者为调查对象,回顾性分析感染患者的临床资料,统计分析感染部位分布、影响因素以及病原菌种类等。结果 324例血液透析患者共发生医院感染52例,感染率为16.05%;感染部位以肺部、泌尿道为主,分别占32.7%和23.1%,其次依次为血管通路、腹膜炎、肠道、皮肤;共分离出病原菌44株,其中革兰阴性菌21株占47.7%,革兰阳性菌15株占34.1%,真菌8株占18.2%;年龄60岁、静脉置导管、血红蛋白≤90g/L、血清白蛋白30g/L、伴有糖尿病肾病是血液透析患者医院感染相关影响因素(P0.05)。结论肾内科患者血液透析过程中发生医院感染的风险较高,对此需要在控制原发病的基础上采取有效措施进行干预,减少侵入性操作、缩短住院时间,从而有效降低病死率。
[Abstract]:Objective to analyze the characteristics of nosocomial infection in hemodialysis patients in renal department. Methods 324 patients who received hemodialysis from May 2011 to March 2013 were selected as the subjects. Retrospective analysis of the clinical data of infected patients, statistical analysis of the distribution of infection sites, influencing factors and types of pathogens. Results 324 patients with hemodialysis patients with hospital infection 52 cases. The infection rate was 16.05; The infection sites were mainly lung and urinary tract, accounting for 32.7% and 23.1respectively, followed by vascular pathway, peritonitis, intestinal tract and skin. 44 strains of pathogenic bacteria were isolated, of which 21 strains were Gram-negative bacteria (47.7%), 15 Gram-positive bacteria (34.1 strains) and 8 fungi strains (18.2g%). Age 60, intravenous catheterization, hemoglobin 鈮，

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