肝病专科医院住院患者医院感染危险因素分析

Analysis of risk factors for nosocomial infection in inpatients of liver disease specialized hospital

目的研究某肝病专科医院住院患者医院感染的危险因素,为制订防控措施提供参考。方法通过回顾性调查方法,对某肝病专科医院住院患者医院感染危险因素进行统计分析与评价。结果该肝病专科医院2018—2019年住院时间>48 h且<90 d的住院患者有45702例患者,依据是否发生医院感染将其分为感染组(n=2436)和未感染组(n=43266),logistic回归分析发现感染风险因素有年龄、住院时长、使用抗菌药、联用抗菌药、癌症、肝硬化、糖尿病、呼吸机和动静脉导管。结论关注低年龄及高龄患者、积极治疗基础病、加强“三大管”相关感染管理、规范应用抗菌药、加强院感防控培训及考核等措施可减少医院感染发生。

Objective To study the risk factors of nosocomial infection in inpatients of a liver disease specialized hospital to provide reference for formulating prevention and control measures.Methods Through retrospective investigation,the risk factors of nosocomial infection among inpatients in a liver disease specialized hospital were statistically analyzed and evaluated.Results From 2018 to 2019,there were 45702 inpatients in this liver disease specialized hospital whose hospitalization time was>48 h and<90 d,and they were divided into infection group(n=2436)and non-infection group(n=43266)based on whether nosocomial infection occurred.Logistic regression analysis showed that infection risk factors induded age,length of hospitalization,use of antibacterial drugs,combined use of antibacterial drugs,cancer,cirrhosis,diabetes,ventilator,and arteriovenous catheter.Conclusion Paying attention to young and elderly patients,actively treating basic diseases,strengthening the management of infections related to the three major tubes,standardizing the application of antibacterial drugs,and strengthening training and assessment on nosocomial infection prevention and control can reduce the occurrence of hospital infections.