肾病科患者医院感染危险因素临床分析

发布时间：2018-11-09 07:26

【摘要】：目的探讨肾病科患者医院感染的危险因素,为降低患者临床感染率提供参考依据。方法回顾性分析2014年1月-2015年3月医院360例住院患者临床资料,采用单因素分析和多因素logistic非条件回归分析方法,对影响患者发生医院感染的危险因素进行总结分析,数据采用SPSS 16.0软件进行统计分析。结果 360例肾病科患者有102例发生医院感染,感染率为28.33%;共分离出102株病原菌,以革兰阴性菌为主,共55株占44.72%;多因素logistic回归分析结果显示,患者年龄60岁、体质量50kg、合并高血压、入住ICU、住院时间10d、中心静脉置管、留置尿管、使用呼吸机是影响患者医院感染的独立危险因素(P0.05)。结论肾病科患者医院感染的危险因素多,应根据以上因素进行针对性地预防与治疗。
[Abstract]:Objective to explore the risk factors of nosocomial infection in patients with renal diseases and to provide reference for reducing the clinical infection rate. Methods the clinical data of 360 hospitalized patients from January 2014 to March 2015 were retrospectively analyzed. The risk factors affecting nosocomial infection were analyzed by univariate analysis and multivariate logistic non-conditional regression analysis. The data were analyzed by SPSS 16.0 software. Results among 360 cases of renal diseases, 102 cases had nosocomial infection, the infection rate was 28.33%, 102 strains of pathogenic bacteria were isolated, 55 strains were Gram-negative bacteria (44.72%). The results of multivariate logistic regression analysis showed that the patient was 60 years old, with body mass of 50 kg, with hypertension, hospitalization time of 10 days in ICU, central venous catheterization and indwelling urethral catheter. Ventilator was an independent risk factor for nosocomial infection (P0.05). Conclusion there are many risk factors for nosocomial infection in renal patients.
【作者单位】：南阳市中心医院肾病风湿免疫科;
【基金】：国家自然科学基金资助项目(30872155)
【分类号】：R692;R197.323

【相似文献】