摘要
目的了解心血管内科急性心肌梗死住院患者医院感染的相关因素。方法采用回顾性方法调查医院2004年1月1日-2006年12月31日心血管内科急性心肌梗死住院患者的临床资料。结果急性心肌梗死患者医院感染率为27.27%,例次感染率为33.49%;医院感染部位以下呼吸道感染最多见(69.50%),其次为泌尿道(12.06%)、胃肠道(10.64%);筛选出住院天数、心力衰竭、泌尿道插管、入住冠心病重症监护病房(CCU)、抗菌药物应用是医院感染发生的相关危险因素。结论急性心肌梗死患者医院感染发生率高,危险因素多,应引起高度重视,严格掌握侵入性操作的适应证,合理使用抗菌药物。
OBJECTIVE To evaluate the risk factors for nosocomial infection （NI） in patients with acute myocardial infarction. METHODS A retrospective study was carried out to investigate the clinical data of patients with acute myocardial infarction during the period from Jan 1, 2004 to Dec 31,2006. RESULTS The incidence and case incidence of NI were 27. 27% and 33. 73%, respectively. Lower respiratory tract infection （69. 50%） was the commonest, followed by urinary tract infection （12.06 % ） and gastrointestinal tract infection （10.64 %）. NI was closely related with patientrs age, duration of hospitalization, heart failure, urinary tract catheterization, longer stay in cardiac ICU and application of antimicrobial agents. CONCLUSIONS NI is high in patients with acute myocardial infarction,which should be paid attention on during the course of clinical treatment.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2009年第1期53-55,共3页
Chinese Journal of Nosocomiology
关键词
急性心肌梗死
医院感染
危险因素
Acute myocardial infarction
Nosocomial infection
Risk factor
