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| 连续性肾脏替代治疗患者并发医院获得性肺炎发生率及其危险因素分析 | |
| 引用本文： | 左满花1,2,胡秀英2,唐俊3. 连续性肾脏替代治疗患者并发医院获得性肺炎发生率及其危险因素分析[J]. 现代预防医学, 2015, 0(18): 3432-3435 |
| 作者姓名： | 左满花1 2 胡秀英2 唐俊3 |
| 作者单位： | 1.湖北民族学院医学院，湖北 恩施 445000；2.四川大学华西临床医学院，四川 成都 610041；3.恩施州中心医院肾内科，湖北 恩施 445000 |
| 摘 要： | 摘要:目的 探讨CRRT（连续性肾脏替代治疗）患者医院获得性肺炎发生率的相关危险因素，为制定护理对策及干预措施提供依据。方法 采用回顾性研究方法，选取2009年9月-2014年7月某校附院血透中心进行CRRT的患者580例，分析并发肺部感染的感染率、病原菌及相关因素。结果 580例CRRT患者中发生医院获得性肺炎58例，感染率为10.00%；病原菌以葡萄球菌感染为主（49.20%）；年龄≥60岁（β＝2.823，OR＝16.829，P＜0.001）、治疗时间≥24 h（β＝3.661，OR＝38.893，P＜0.001）、基础疾病≥2种（β＝2.618，OR＝13.712，P＜0.001）、伴有意识障碍（β＝2.813，OR＝16.664，P＜0.001）是CRRT患者并发肺部感染的危险因素；预防应用抗菌药（β＝-1.562，OR＝0.210，P＝0.005）是CRRT患者并发肺部感染的保护因素。结论 CRRT患者并发肺部感染与多种因素密切相关，临床应针对性的采取预防及干预措施，有效控制医院感染的发生，提高患者治疗的安全性。 |
| 关 键 词： | 关键词:CRRT患者 医院获得性肺炎 病原菌 相关因素 |
Analysis on the pathogens causing hospital acquired pneumonia in CRRT (continuous renal replacement therapy) patients and related factors |
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| ZUO Man-hua,HU Xiu-ying,TANG Jun. Analysis on the pathogens causing hospital acquired pneumonia in CRRT (continuous renal replacement therapy) patients and related factors[J]. Modern Preventive Medicine, 2015, 0(18): 3432-3435 | |
| Authors: | ZUO Man-hua HU Xiu-ying TANG Jun |
| Affiliation: | *Hubei Minzu university medical college, Enshi, Hubei 445000, China |
| Abstract: | Abstract: Objective The aim of this study was to explore the infectious pathogen and related factors of hospital acquired pneumonia in CRRT, in order to provide the basis for the development of nursing measures and intervention measures. Methods A retrospective analysis, from September 2009 to July 2014 was conducted. The clinical data of 580 cases of CRRT patients were chosen from the center of hemodialysis units in our university to analyze the incidence of nosocomial infectious pathogens and the related factors. Results The nosocomial infections were occurred in 58 cases of the 580 cases. And the infectious rate was 10.0%. The main pathogen was staphyloccocus aureus (49.20%). The risk factors included the age which was greater than or equal to sixty years (β=2.823, OR=16.829, P<0.001), therapy times which was greater than or equal to twenty four hours (β=3.661, OR=38.893, P<0.001), the basis of disease which was greater than or equal to twice types (β=2.618, OR=13.712, P<0.001), disorder of consciousness which was holding (β=2.813, OR=16.664, P<0.001) and the protective factors including preventive application of antibiotics (β=-1.562, OR=0.210, P=0.005) were analyzed. Conclusion The hospital acquired pneumonia in CRRT patients was closely related to a number of factors. The appropriate intervention measures should be taken in clinics to effectively control the occurrence of infections and enhance the treatment safety of patients. |
| Keywords: | Keywords: CRRT patients Hospital acquired pneumonia Pathogen Related factors |
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