摘要
目的:分析心内科住院患者医院内感染的发病率及危险因素,为临床提供参考。方法:回顾性分析1999年至2002年2287例心内科住院患者的院内感染情况,采用Logistci回归分析法对其中11种可能的危险因素进行统计分析。结果:心内科住院患者院内感染发病率为6.43%,感染部位以下呼吸道最多(79.59%),院内感染的危险因素按危险性大小依次为:住院天数(OR=59.934,P<0.05)、低蛋白血症(OR=47.913,P<0.05)、餐后及空腹血糖水平升高(OR=35.128,30.478,P均<0.05),血肌酐水平升高(OR=24.738,P<0.05)以及心功能不全(LVEF≤40,OR=22.469,NYHA心功能≥级,OR=21.872,P均<0.05)。结论:心内科住院患者易于并发医院内感染,感染因素多,临床应予针对性预防。目的:分析心内科住院患者医院内感染的发病率及危险因素,为临床提供参考。方法:回顾性分析1999年至2002年2287例心内科住院患者的院内感染情况,采用Logistci回归分析法对其中11种可能的危险因素进行统计分析。结果:心内科住院患者院内感染发病率为6.43%,感染部位以下呼吸道最多(79.59%),院内感染的危险因素按危险性大小依次为:住院天数(OR=59.934,P<0.05)、低蛋白血症(OR=47.913,P<0.05)、餐后及空腹血糖水平升高(OR=35.128,30.478,P均<0.05),血肌酐水平升高(OR=24.738,P<0.05)以及心功能不全(LVEF≤40,OR=22.469,NYHA心功能≥级,OR=21.872,P均<0.05)。结论:心内科住院患者易于并发医院内感染,感染因素多,临床应予针对性预防。
Objective : To investigate the rate of nosocomial infection in department of cardiology and to analyze the risk factors of nosocomial infection. Methods: Retrospectively analyzed the data came from 2 287 hospitalized cases in 1999.1 ~2002.12, and statistics performed by logistic analysis. Results: The respiratory trace was the most frequent infection site. According to the risk, the risk factors respectvely were hospitalized days (OR=59. 934, P〈0. 05), hypoalbuminemia (OR=47. 913, P〈0.05), increased fasting serum glucose and increased postprandial serum glucose (OR = 35,128, 30. 478, P〈0.05 all ), serum creatinine level increased (OR = 24,738, P〈0. 05), chronic heart failure, [LVEF≤40 (OR = 22. 469, P〈0.05), NYHA class≥Ⅲ (OR= 21.872, P〈0. 05]. Conclusion: Nosocominial infection easy happens for patients in department of cardiology, its risk factors are more ; directional prophylaxis must perform for it.
出处
《心血管康复医学杂志》
CAS
2006年第4期331-333,共3页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
住院病人
感染
危险因素
Hospital patients
Infections
Risk factor