老年肾综合征出血热医院感染的临床分析

目的 探讨老年肾综合征出血热医院感染特点及危险因素.方法 采用回顾性调查方法,对医院2002年1月-2010年10月感染内科156例老年肾综合征出血热患者医院感染病例进行分析.结果 老年肾综合征出血热患者医院感染率为26.9％；最常见感染部位是肺部,占45.2％,其次是泌尿道及肠道；临床表现早期不典型,感染多发生于少尿期、多尿期及重型、危重型患者；主要因素是疾病严重程度、肺水肿、腔道出血、侵入性操作、合并基础疾病、预防性应用抗菌药物、激素应用及住院时间.结论 老年肾综合征出血热医院感染危险因素较多,临床工作者应予以重视,加强监测,才能降低老年肾综合征出血热患者医院感染的发生.

Clinical analysis of nosocomial infections in patients with hemorrhagic fever with renal syndrome

OBJECTIVE To investigate the clinical characteristics and risk factors for nosocomial infections in senile patients with hemorrhagic fever with renal syndrome(HFRS).METHODS A retrospective survey was carried out to investigate the clinical data of 156 elder HFRS patients in the department of infectious diseases from Jan 2002 to Oct 2010.RESULTS The incidence of nosocomial infections in senile HFRS patients was 26.9%;the most common infection site was found in the pulmonary cell system,reaching to 45.2%,followed by urinary tract and intestinal tract,the clinical manifestations were usually untypical in early stage;the infections frequently occurred in severe and critical patients during polyuria phase and oliguria phase;the main risk factors included the severity of diseases,pulmonary oedema,cavity hemorrhage,invasive operations,underlying disease,prophylactic use of antibiotics,hormone application,and the duration of hospitalization.CONCLUSION Various factors contribute to nosocomial infections in elder patients with HFRS,the results suggest that we should pay attention to clinical monitoring in order to reduce nosocomial infections.