尿毒症透析患者院内感染的相关因素分析

发布时间：2018-04-12 09:47

本文选题：尿毒症 + 透析　；参考：《中国全科医学》2017年S1期

【摘要】：目的分析尿毒症透析患者院内感染的相关因素。方法选取2015年6月—2016年6月湖北省随州市中心医院肾内科行血液透析的112例尿毒症患者的临床资料。47例发生院内感染的患者纳入感染组,65例未发生院内感染的患者纳入非感染组。比较两组患者实验室相关指标,分析感染组感染部位及病原菌种类。结果感染组血红蛋白为(56±13)g/L,低于非感染组的(82±11)g/L,感染组血清肌酐、C反应蛋白分别为(964±367)μmol/L、(14.9±5.2)mg/L高于非感染组的(624±237)μmol/L、(8.1±2.8)mg/L,差异具有统计学意义(P0.05).感染组呼吸道感染28例,其中革兰阳性球菌4例,革兰阴性杆菌24例;泌尿系感染15例,其中革兰阳性球菌2例,革兰阴性杆菌13例;消化道感染4例,其中革兰阳性球菌1例,革兰阴性杆菌3例。结论尿毒症血液透析患者院内感染原因复杂,临床上可应用高生物相容性透析膜、加强护理、合理使用抗菌素、保持病房干净等,有效减少院内感染。
[Abstract]:Objective to analyze the related factors of nosocomial infection in uremic dialysis patients.Methods from June 2015 to June 2016, the clinical data of 112 uremic patients with hemodialysis in Department of Renal Medicine, Suizhou Central Hospital, Hubei Province, from June 2015 to June 2016. 47 patients with nosocomial infection were included in the infection group (n = 65) without nosocomial infection.The patients were included in the non-infection group.The infection sites and pathogens in the infected group were analyzed by comparing the laboratory indexes between the two groups.In the infection group, there were 28 cases of respiratory tract infection, including 4 cases of gram-positive cocci, 24 cases of gram-negative bacilli, 15 cases of urinary tract infection, 2 cases of gram-positive cocci, 13 cases of gram-negative bacilli, and 4 cases of gastrointestinal tract infection.One case of Gram positive cocci and 3 cases of Gram-negative bacilli.Conclusion the causes of nosocomial infection in patients with uremia hemodialysis are complicated, the high biocompatibility dialysis membrane can be used in clinic, nursing care should be strengthened, antibiotics should be used reasonably, and the hospital ward should be kept clean, so as to reduce nosocomial infection effectively.
【作者单位】：湖北省随州市中心医院;
【分类号】：R692.5

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