肝病患者院内感染的临床分析
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四川省卫计委普及应用项目(16PJ144)


Clinical analysis of nosocomial infection of hepatopathy patients
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    摘要:

    【摘要】 目的 分析肝病患者院内感染的临床特征。方法 将2016年4月~2017年4月收治的1127例肝病患者作为研究对象,分析患者院内感染的临床特征。结果 1127例肝病患者发生院内感染107例,院内感染率为949%。肝病患者院内感染的部位包括:呼吸道、腹腔、胃肠道、泌尿系、血液和胆道等,其中感染的主要部位为呼吸道(3274%),腹腔(3009%)和胃肠道(1593%)。年龄>60岁的肝病患者的院内感染的发病率明显高于年龄<60岁的患者(P<005)。涉及侵袭性操作患者的院内感染率(1139%)高于未涉及患者(665%)。病原菌主要包括大肠埃希氏菌、克雷伯菌属、金黄色葡萄球菌和白色念珠菌珠。结论 肝病住院病人的院内感染率较高;年龄和侵入性操作为院内感染的危险因素,感染部位以呼吸道,腹腔和胃肠道为主;大肠埃希氏菌,克雷伯菌和金黄色葡萄球菌为常见的病原菌。

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    【Abstract】 Objective To analyze the clinical characters of nosocomial infection of hepatopathy patients. Methods 1127 hepatopathy patients in The People Hospital of Deyang from April, 2016 to April, 2017 were selected as study objectives. The data of nosocomial infection were analyzed. Results There were 107 patients with nosocomial infection of the 1127 patients (949%). The nosocomial infection sites included respiratory tract, abdominal cavity, gastrointestinal tract, urinary system, blood and biliary tract, etc. The main infection sites were respiratory tract (3274%), abdominal cavity (3009%) and gastrointestinal tract (1593%). The incidence of nosocomial infection of the patients age more than 60 year old was higher than that of less than 60 year old (P<005). The nosocomial infection rate in patients with invasive operation (1139%) was higher than that in non involved patients (665%). The main pathogens were Escherichia coli, Klebsiella, Staphylococcus aureus and Candida albicans. Conclusion There is high incidence of nosocomial infection of hepatopathy patients. Age and invasive procedures are risk factors for nosocomial infections. The infection sites were mainly respiratory tract, abdominal cavity and gastrointestinal tract. Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus are common pathogens.

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  • 在线发布日期: 2018-09-19
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