慢性肾脏疾病患者发生医院感染的 特点与危险因素分析

目的 探讨慢性肾脏疾病患者的医院感染特点及相关危险因素.方法 回顾性分析1079例患者的临床资料和医院感染情况,并填入自制表格,内容包括性别、年龄、住院时间、患者的感染率、感染部位、基础疾病、病原菌等,并采用流行病学方法进行统计分析.结果 发生医院感染261例,感染率为24.2％,感染部位以泌尿道为主,占46.4％,原发病中狼疮性肾炎感染率最高,为34.1％；住院时间＞30 d,医院感染率高达44.7％；共培养、分离出病原菌130株,检出阳性率为49.8％,以革兰阳性菌为主,占66.1％,其次为革兰阴性杆菌占23.1％,真菌占10.8％.结论 慢性肾脏疾病患者医院感染与年龄、原发病、肾功能、住院时间等有关,早期预防和治疗医院感染,对于改善肾脏病的预后有良好效果.

Characteristics of nosocomial infection in patients with chronic kidney disease and analysis of risk factors

OBJECTIVE To investigate the characteristics of nosocomial infection in patients with chronic kidney disease and analyze related risk factors. METHODS Retrospective analysis of medical records and nosocomial infection situation of 1079 patients was conducted,and self-made form was filled,including gender,age,length of stay in hospital,the patient's infection rate,the site of infection,underlying diseases,pathogens,etc,and statistics and analysis with epidemiological methodology were carried out. RESULTS The...