肝病医院医院感染的危险因素分析

Analysis on Risk Factors of Nosocomial Infection in Liver Specialist Hospital of Guangzhou

目的了解肝病医院医院感染现患率和危险因素。方法通过横断面调查分析医院感染的患病率,并分析相关危险因素。结果医院感染的现患病率12.77%,感染部位以呼吸道感染为主。入院初始抗菌素使用率35.46%。住院时间、既往脾切除或脾栓塞、合并2型糖尿病、胸腔积液、肝衰竭、肝癌、肝硬化等是医院感染的危险因素。结论肝病专科医院医院感染的现患率高,抗菌素使用率低,需有效的预防措施来降低医院感染的发生。

Objective To investigate the prevalence rate and risk factors of nosocomial infections in liver specialist hospital of Guangzhou. Methods A prevalence study was carried out in a liver specialist hospital,to study the prevalence of nosocomical infections and major risk factors for nosocomial infections. Results Prevalence rate of nosocomial infections was12. 77%. The most common nosocomial infections recorded involved respiratory tract infections. The percentage of antibiotic usage was 35. 46% in initial admission site. Long hospital stay,past history of splenectomy or splenic embolization,combined with type 2 diabetes,pleural effusion,liver failure,liver cancer or liver cirrhosis were all significant risk factors for nosocomial infection. Conclusion This study documents the high prevalence of nosocomial infections and a low rate of antibiotic use in patients of liver specialist hospital and the urgent need for more effective prevention interventions.