尿毒症患者医院感染因素分析

Factors of nosocomial infection in patients with uremia

目的探讨尿毒症患者医院感染的发生率及易感因素以便进行有效的预防。方法对医院2008年9月-2010年10月收治的尿毒症发生医院感染的病例进行回顾性调查分析。结果 98例尿毒症患者,发生医院感染者11例,感染率为11.2%;医院感染最常见的感染部位为呼吸道,占36.3%,其次为泌尿道,占27.3%;在发生医院感染的11例患者中,检出病原菌9株,病原菌检出率为81.9%;检出的病原菌居前3位的分别为大肠埃希菌、肺炎克雷伯菌和铜绿假单胞菌,检出率均为22.2%。结论尿毒症患者医院感染的发生率以呼吸道感染多见,年龄、住院时间、血红蛋白和有无血液透析等均是相关危险因素,应及时发现并采用相应的预防措施。

OBJECTIVE To discuss the incidence of nosocomial infection in patients with uremia and the susceptible factors,so as to take the effective prevention measures.METHODS The cases of nosocomial infection in uremic patients collected and treated from Sep 2008 to Oct 2010 were retrospectively analyzed.RESULTS Of 98 patients with uremia,nosocomial infection occurred in 11 case with the infection rate 11.2.0%.The most common nosocomial infection site was respiratory tract,accounting for 36.4%,followed by urinary tract,accounting for 27.3%.Of the 11 cases with nosocomial infection,9 strains pathogenic bacteria were detected with the detection rate of 81.9%.The top three pathogens detected were Escherichia coli,Klebsiella pneumoniae and Pseudomonas aeruginosa,respectively,all the detection rates were 22.2%.CONCLUSION The incidence rate of nosocomial infection in patients with uremia is high in respiratory tract infection.The age,hospital stays,hemoglobin and dialysis are the correlated risk factors,it should discover immediately and adopt appropriate preventive measures.