感染科患者医院感染危险因素分析

Analysis of Risk Factors of Nosocomial Infection in Patients with Infectious Diseases

目的分析感染科患者发生院内感染的危险因素。方法选取2016年2月至2019年2月山东省菏泽市牡丹人民医院感染科收治的500例患者开展院内感染监测,收集所有患者的各项信息和临床资料以及感染情况。结果院内感染率为3.40%(17/500)。主要为下呼吸道、血液系统等部位感染。标本培养病原菌17株,其中12株革兰阴性菌,4株革兰阳性菌,1株真菌。结论Logistic回归分析得出,年龄、白细胞(WBC)、血清白蛋白、广谱抗菌药、住院天数是院内感染的独立危险因素。

Objective To analyze the risk factors of nosocomial infection in the department of infection.Methods From February 2016 to February 2019,500 patients in the infection department of Mudan people's Hospital of Heze City,Shandong Province were selected to carry out nosocomial infection monitoring,and all patients'information,clinical data and infection were collected.Results The nosocomial infection rate was 3.40%(17/500).The main infection sites were lower respiratory tract and blood system.17 strains of pathogenic bacteria were cultured,including 12 Gram-negative bacteria,4 Gram-positive bacteria and 1 fungus.Conclusion According to logistic regression analysis,the main independent risk factors of nosocomial infection were age,WBC,serum albumin,broad-spectrum antibiotics and hospital stay.