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维持性血液透析患者医院感染临床分析及防控 被引量:22

The clinical analysis and prevention of nosocomial infection in maintenance hemodialysis patients
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摘要 目的了解持续性血液透析患者在医院的感染情况,分析导致感染的危险因素,制定相应的防控措施。方法回顾性分析2006年3月~2011年9月经我院肾内科行血液透析治疗的114例患者的临床资料。结果 114例血透患者中,发生医院感染48例,感染率为42%,其中感染发生最多的部位为呼吸道(39.3%)、胃肠道(28.8%)及泌尿道(10.6%);伴有糖尿病等原发病、贫血、老年患者和中心静脉置管者发生感染的机率明显较高,差异均有统计学意义(P<0.05)。结论高龄、透析不充分、透析龄长、贫血、插管等是医院感染的高危因素;应从医院和患者两方面双管齐下对感染进行防控。 Objective To analyse the infection situation of maintenance hemodialysis patients, investigate the risk factors leading to infect, and provide corresponding prevention and control measures. Methods The clinical data of 114 patients had hemodialysis treatment were analyzed. Results There were 48 cases (42%) with nosocomial infection in 114 cases of hemodialysis patients. The infection sites included respiratory tract (39.3%), gastrointestinal tract (28. 8%) and urinary tract (10. 6%). Conclusion Age, inadequate dialysis, dialysis age long, anemia, intubation are the nosocomial infection risk factors.
出处 《西部医学》 2013年第1期72-73,76,共3页 Medical Journal of West China
关键词 维持性血液透析 医院感染 分析 防控 Maintenance hemodialysis Hospital infection Analysis Prevention and control
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