肝硬化患者医院感染的危险因素分析与预防

发布时间：2018-03-21 12:42

本文选题：肝硬化　切入点：医院感染　出处：《中华医院感染学杂志》2015年01期 　论文类型：期刊论文

【摘要】：目的探讨肝硬化患者发生医院感染的相关危险因素并制定相应的预防对策,为预防和控制肝硬化患者发生医院感染提供参考。方法选取2010年1月-2014年3月住院治疗的580例肝硬化患者发生医院感染的临床资料进行回顾性分析,探讨肝硬化发生医院感染的危险因素,并总结预防对策。结果 580例肝硬化患者发生医院感染63例,感染率10.86%;医院感染部位以呼吸系统、腹腔、消化系统为主,分别占41.27%、30.16%、17.46%;高龄、有肝炎并发症、肝功能差、预防性应用抗菌药物、侵入性操作、住院时间长是医院感染的危险因素。结论加强医院各项管理措施,严格执行无菌操作、改善患者肝功能、合理使用抗菌药物、尽量缩短患者住院时间、减少侵入性操作,可有效降低肝硬化患者医院感染的发生率。
[Abstract]:Objective to explore the risk factors of nosocomial infection in patients with liver cirrhosis and to make corresponding preventive measures. Methods the clinical data of 580 patients with liver cirrhosis who were hospitalized from January 2010 to March 2014 were retrospectively analyzed, which were used to prevent and control nosocomial infection in patients with liver cirrhosis. To explore the risk factors of nosocomial infection in patients with liver cirrhosis and to summarize the preventive measures. Results 63 cases of nosocomial infection occurred in 580 patients with cirrhosis, and the infection rate was 10.86.The nosocomial infection was mainly located in respiratory system, abdominal cavity and digestive system, accounting for 41.27% 30.16% 17.46%. Complications of hepatitis, poor liver function, prophylactic use of antimicrobial agents, invasive operation and long hospital stay are the risk factors of nosocomial infection. Rational use of antimicrobial agents, shortening hospitalization time and reducing invasive operation can effectively reduce the incidence of nosocomial infection in patients with liver cirrhosis.
【作者单位】：浙江省龙游县人民医院感染科;衢州市人民医院感染科;杭州师范大学医学院临床医学系;
【基金】：杭州市科技发展基金资助项目(2011D054)
【分类号】：R575.2

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