慢性肾功能衰竭并发医院感染的临床分析

Nosocomial Cases with Chronic Renal Failure: A Clinical Investigation

目的 探讨慢性肾功能衰竭 (CRF)并发医院感染的临床特点。方法 分析我院住院治疗的CRF 95例 ,进行医院感染分析。结果 CRF医院感染率为 36 .8% ,常见医院感染部位依次为呼吸道、泌尿道、消化道及皮肤 ;分离菌株以革兰阴性杆菌为主 ,其次为革兰阳性菌及真菌 ;血清白蛋白和住院时间与医院感染显著相关(P <0 0 0 5 )。结论 CRF医院感染率为 36 .8% ,这与患者血清白蛋白及住院时间等多种因素关系密切。

OBJECTIVE To investigate nosocomial infection in 95 cases with chronic renal failure(CRF). METHODS The location of infection, the level of serum albumin, the duration in hospital were analyzed. RESULTS Nosocomial infection occurred mainly in the respiratory tract, urinary tract, digestive tract and skin. Gram negative bacilli were the dominant bacteria in the infections. The nosocomial infection showed close relationship with the level of serum albumin and duration in hospital (P<0.005). CONCLUSIONS Nosocomial infection rate in CRF was 36 8%. It may be associated with the low level of serum albumin and long stay in hospital.