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老年肾功能衰竭患者透析感染的危险因素及感染病原菌的分布 被引量:8

Analysis of risk factors of dialysis infection and distribution of pathogenic bacteria in elderly patients with renal failure
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摘要 目的分析老年肾功能衰竭患者临床透析感染的危险因素以及感染病原菌的分布情况,为预防感染的发生提供科学依据。方法以2013年1月至2014年12月在本院做透析治疗的164名老年肾衰竭患者作为研究对象,按照患者在维持透析过程中是否发生感染将患者分为感染组和非感染组,分析比较2组患者的感染部位、基础资料、血常规、血生化检测结果以及引起感染病原菌的分布情况。结果发生感染的部位以呼吸道感染和尿路感染最为常见;患者的年龄、透析时间、血球蛋白、血红蛋白、血清白蛋白、血肌酐、罹患糖尿病是引发感染的危险因素(P<0.05);164例老年肾衰竭患者在透析过程中有92例患者发生了106例次感染,感染率为56.09%,检出真菌24株、检出革兰氏阳性菌38株、检出革兰氏阴性菌60株,其中分别以白色假丝酵母菌、金黄色葡萄球菌、铜绿假单胞菌较为常见。结论老年肾衰竭患者以呼吸道感染和尿路感染最为常见,年龄、透析时间、血球蛋白、血红蛋白、血清白蛋白、罹患糖尿病是其感染的危险因素,感染以白色假丝酵母菌、金黄色葡萄球菌、铜绿假单胞菌较为常见。 Objective The risk factors of dialysis infection and the distribution of pathogenic bacteria in the patients with renal failure were analyzed, and provide a scientific basis for the prevention of infection. Method From January 2013 to December 2014, 164 elderly patients with renal failure and received dialysis treatment in our hospital were enrolled for research and divided into infection group and non infection group.Site of infection, biography, blood routine, blood biochemistry test results and the distribution of pathogens of the 2 groups were compared and analyzed. Results Respiratory tract infection and urinary tract infection were the most common infection, accounted for 71.70% of the total infection. Age, duration of dialysis, blood cells, hemoglobin, serum albumin, serum creatinine and diabetes were the risk factors of causing infection(P〈0.05).106 out of 164 cases of elderly patients with renal failure and received dialysis treatment were infected, with an infection rate of 56.09%. 24 strains of fungi, 38 strains of Gram positive bacteria, and60 strains of Gram negative bacteria were detected. Conclusion Respiratory tract infection and urinary tract infection were the most common infection in the elderly renal failure patients receiving dialysis treatment.Age, duration of dialysis,blood cells, hemoglobin, serum albumin, serum creatinine and diabetes were the risk factors of causing infection.Infections with Candida albicans, Staphylococcus aureus, and Pseudomonas aeruginosa were more common.
出处 《热带医学杂志》 CAS 2016年第5期668-670,共3页 Journal of Tropical Medicine
关键词 肾功能衰竭 血液透析 感染部位 危险因素 病原菌分布 Renal failure Hemodialysis Site of infection Risk factors Pathogenic bacteria distribution
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