血液透析患者医院感染分析与护理措施

目的了解慢性肾衰竭血液透析患者医院感染的情况,探讨其相关危险因素,制定相应护理措施。方法对2007年1月~2009年9月行血液透析治疗的109例患者资料进行回顾性分析。结果 109例血液透析患者发生医院感染51例,感染率为46.78%,感染发生的主要部位是呼吸道(39.7%)、其次是血管通路感染(22.4%)、泌尿道感染(15.5%)、血液病毒感染(10.3%)、肠道感染(6.9%);原发病为糖尿病肾病、贫血越严重、白蛋白越低、年龄越大者医院感染率越高,差异均有统计学意义(P<0.05)。结论加强环境管理、合理营养提高抵抗力、做好深静脉置管患者的导管护理、加强HBV、HCV、HIV阳性患者护理管理、强化手卫生等护理措施的落实是减少血液透析患者医院感染发生的关键。

Hospital infection and nursing measures in hemodialysis center

Objective To explore hospital infection of patients with chronic renal failure in hemodialysis center,investigate its risk factors and develop appropriate nursing measures.Methods The data of 109 cases who received hemodialysis from January 2007 to September 2009.were retrospectively analyzed Results There were 51 infection cases in 109 hemodialysis patients.The infection rate was 46.78%.The main site of infection was respiratory tract(39.7%),followed by vascular access(22.4%),urinary tract(15.5%),blood vir...