| 高丽萍,张亮,杨会志.医院死亡病例的医院感染情况调查分析[J].安徽医药,2018,22(12):2385-2389. |
| 医院死亡病例的医院感染情况调查分析 |
| Investigation and analysis of nosocomial infection in death cases in a hospital |
| 投稿时间：2017-03-21 |
| DOI： |
| 中文关键词: 医院感染 死亡 多因素分析 |
| 英文关键词: Nosocomial infection Death Multivariate analysis |
| 基金项目: |
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| 中文摘要: |
| 目的 了解医院死亡病例的医院感染特点,探讨死亡病例发生医院感染的危险因素。 方法 收集安徽省立医院2014年全年的死亡病例,进行回顾性分析,采用单因素χ2检验、多因素logistic回归分析死亡患者发生医院感染的相关危险因素。 结果 住院死亡病例的医院感染发生率为25.53%,其中36例直接导致死亡。感染部位以呼吸道、血流及泌尿道为主,医院感染最主要发生在干部病房及重症监护病房,标本分离菌株中非发酵菌占首位(占40.0%)。单因素分析:住院天＞15 d、使用抗菌药物、抗菌药物使用＞20 d,使用导尿管、中心静脉置管、气管切开、接受放疗、使用激素、有恶性肿瘤、糖尿、病脑梗死基础疾病与这类死亡病例发生院内感染有关。多因素logistic回归:住院天数＞15 d、抗菌药物使用＞20 d、接受放疗、恶性肿瘤、糖尿病是发生院内感染的独立危险因素。 结论 临床工作中需密切关注重点科室、高危人群,尤其预防呼吸道感染的发生,针对各危险因素,采取综合措施,预防医院感染的发生,改善患者预后。 |
| 英文摘要: |
| Objective To investigate the characteristic of nosocomial infection in death cases of our hospital and explore risk factors of nosocomial infection. Methods All death cases in 2014 were collected and analyzed retrospectively.Chi-square test and logistic regression analysis were performed to observe the risk factors for the death patients associated with nosocomial infection. Results The rate of nosocomial infection was 25.53% in 423 death cases,among which 36 were led to death directly by nosocomial infection.The respiratory tract infection was the most common nosocomial infection.Nosocomial infection often occured in the cadre ward and the intensive care ward.Non-fermentative bacterial was the first isolated bacterial,accounting for 40.0%.The chi-square test analysis showed that the influencing factors for nosocomial infection-related death included the hospitalization days >15 days,the use of antibacterial drugs,antibacterial drug using >20 days,the use of catheters,central venous catheter,tracheotomy,accepting radiotherapy,using hormones,malignant tumor,diabetes and cerebral infarction.The multivariate analysis indicated that hospitalization days >15 days,antimicrobial use for more than 20 days,accepting radiotherapy,malignant tumor,diabetes were independent risk factors fornosocomial infection-related death. Conclusion It need to pay close attention to the nosocomial infection of high-risk groups in key clinical department,especially the prevention of respiratory tract infection.It is important to take comprehensive measures to prevent the occurrence of hospital infection and to improve the prognosis of patients. |
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