肾脏内科住院患者医院感染的危险因素分析

发布时间：2018-08-08 12:08

【摘要】：目的探讨肾脏内科住院患者医院感染的危险因素,为临床预防及治疗提供参考。方法选取2015年4月-2016年5月浙江省荣军医院肾内科住院患者320例,详细记录患者性别、年龄、肾脏基础疾病、实验室检查结果、感染部位、感染时长等情况,并对患者进行相关病原学检查。结果 320例住院患者中,发生医院感染78例,医院感染发生率24.38%,其中糖尿病肾病患者医院感染15例,慢性肾炎患者医院感染11例,系统性红斑狼疮患者医院感染2例,肾病综合征患者医院感染12例,尿毒症透析患者医院感染38例;感染类型结果显示,呼吸道感染34例,胃肠道感染8例,尿路感染10例,皮肤及软组织感染6例,置管感染20例;病原学结果显示,检出革兰阳性菌39株,革兰阴性菌37株,真菌2株;感染组与非感染组在年龄、透析、住院时间、血肌酐、血浆白蛋白方面差异有统计学意义(P0.05);肾内科住院患者年龄大、白蛋白水平低、住院时间≥30d是医院感染发生的独立危险因素。结论肾内科住院患者中透析患者是医院感染率较高群体,其中呼吸道感染以及置管感染为多发医院感染类型,而医院感染的发生与高龄、住院时间过长、白蛋白水平较低呈正相关。
[Abstract]:Objective to explore the risk factors of nosocomial infection in inpatients with nephrology, and to provide reference for clinical prevention and treatment. Methods from April 2015 to May 2016, 320 inpatients in Department of Renal Medicine, Rongjun Hospital, Zhejiang Province, were selected and their sex, age, kidney disease, laboratory examination results, infection site and duration of infection were recorded in detail. The patients were examined for the related etiology. Results among 320 hospitalized patients, 78 cases were nosocomial infection, and the incidence of nosocomial infection was 24.38%. Among them, 15 cases were nosocomial infection in diabetic nephropathy, 11 cases were nosocomial infection in chronic nephritis, 2 cases were nosocomial infection in patients with systemic lupus erythematosus. There were 12 cases of nosocomial infection and 38 cases of nosocomial infection in uremic dialysis patients, and the results showed that there were 34 cases of respiratory tract infection, 8 cases of gastrointestinal tract infection, 10 cases of urinary tract infection and 6 cases of skin and soft tissue infection. The pathogenic results showed that there were 39 Gram-positive bacteria, 37 Gram-negative bacteria, 2 fungi, and the age, dialysis, hospitalization time, serum creatinine, serum creatinine in the infection group and non-infection group. The difference of plasma albumin was statistically significant (P0.05). The age of in-patients in renal internal medicine and the low level of albumin were the independent risk factors of nosocomial infection. Conclusion the rate of nosocomial infection is high among the inpatients in the Department of Renal Medicine. Respiratory tract infection and catheterization infection are multiple types of nosocomial infection, while nosocomial infection is associated with old age and long hospitalization time. Lower albumin level was positively correlated.
【作者单位】：浙江省荣军医院嘉兴市第三医院肾内科;浙江省荣军医院嘉兴市第三医院放射科;浙江省荣军医院嘉兴市第三医院急诊室;
【基金】：浙江省医药卫生一般研究计划项目(2014KYB008)
【分类号】：R197.323;R692

【相似文献】