老年病科医院感染危险因素分析

Analyzing the risk factors apt to suffer from nosocomial infection(NI) in the elderly of gerontology dept

目的分析老年病科患者医院感染危险因素。方法以前瞻性队列的方法分析2009年老年病科695例出院患者病史资料,对有无医院感染分组后进行危险因素分析。结果性别、脑卒中后遗症、留置导尿、糖尿病、脑卒中次数、多基础疾病、低清蛋白血症、空腹血糖、吞咽障碍是老年病科患者易患医院感染的相关危险因素;Logistic多因素回归分析结果显示:糖尿病、留置导尿、吞咽障碍、脑卒中次数、低蛋白血症是老年病科患者易患医院感染的独立危险因素。结论老年病科是医院感染的高发区域,老人医院感染受多方面危险因素影响。

Objective To analyze the risk factors apt to suffer from NI in the elderly of gerontology dept.Methods 695 patients of illness history were analyzed from january to December in 2008 by the method of prospective cohort and were divided into two group,NI group and non-NI group.Results Single factor analysis showed that NI in the elderly of gerontology dept is significantly correlated with gender,cerebral apoplexy sequela,indwelling catheter,diabetes,the number of stroke,many underlying diseases,hypoalbuminemia,firsting blood glucose levels,swallowing disorders;logistic regression analysis showed that diabetes,indwelling catheter,swallowing disorders,the number of stroke,hypoalbuminemia is independent risk factors.Conclusion gerontology dept is a high-risk areas of NI.The NI in the elderly of gerontology dept is related to these risk factors.