摘要
目的探讨慢性肾脏病患者医院感染的发病率和危险因素。方法回顾性调查2005年3月—2009年2月在我院肾内科住院的1 355例慢性肾脏病患者医院感染的发生情况及危险因素。结果1 355例慢性肾脏病患者中有67例发生医院感染,感染率为4.9%。原发病为慢性肾功能不全、自身免疫性疾病、肾病综合征的患者医院感染率较高,分别为9.02%,7.89%和6.35%。年龄较大或者住院时间较长的患者医院感染率较高。医院感染的部位以下呼吸道(31.34%)、上呼吸道(26.87%)、泌尿道(13.43%)、胃肠道(11.94%)及深静脉插管(11.94%)为主。医院感染病原体以革兰阳性球菌为主。结论慢性肾脏病患者住院期间发生医院感染的危险因素包括患者基础疾病种类、年龄大、住院时间长等。应加强预防措施,有效控制和降低慢性肾脏病患者医院感染率。
Objective To investigate the morbidity and risk factors of nosocomial infection in inpatients with chronic kidney disease （CKD）. Methods The morbidity and risk factors of nosocomial infection were analyzed retrospectively based on medical records of 1 355 CKD inpatients from March 2005 to February 2009. Results Sixty - seven patients had nosocomial infection, averaging 4. 9%. The infection rates of patients with such primary diseases as chronic renal insufficiency, autoimmune diseases and nephritic syndrome were relatively high （9.02% , 7. 89%, 6. 35%, respectively）. Elderly or patients staying longer in hospital were infected more. The parts of nosocomial infection were mainly： lower respiratory tract （31.34%）, upper respiratory tract （26.87%）, urinary tract （13.43%）, gastrointestinal tract （11.94%） and deep venous catheterization （ 11.94% ）. Nosoeomial infection was mainly gram - positive bacteria pathogens. Conclusion The risk factors of nosocomial infection during hospitalization include primary disease types, age, long hospital stay, etc. Preventive measures should be strengthened to control and reduce effectively nosocomial infection rate in chronic kidney disease patients.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第11期1229-1231,共3页
Chinese General Practice
关键词
慢性肾脏病
住院患者
医院感染
危险因素
Chronic kidney disease
Inpatient
Nosocomial infection
Risk factor
