摘要
目的减少顽固性心力衰竭患者医院感染发生率,改善其生存质量,降低死亡率。方法回顾性分析2005年1月-2010年1月,88例顽固性心力衰竭患者和同期732例普通心力衰竭患者的临床资料,统计其感染发生率、感染部位、病原学检查结果,分析感染原因。结果顽固性心力衰竭患者医院感染率、多部位感染发生率均高于普通心力衰竭组,感染部位以呼吸道感染最多见,占59.6%,logistic回归分析提示感染与患者年龄、住院时间、合并糖尿病、合并慢性阻塞性肺疾病和合并肾功能不全相关。结论加强顽固性心力衰竭患者医院感染的监控,针对危险因素早期预防和治疗。
OBJECTIVE To reduce the incidence of nosocomial infections in patients with refractory heart failure and to improve the survival quality.METHODS The clinical data during Jan 2005-Jan 2010 of 88 cases with refractory heart failure and 732 cases with general heart failure were analyzed retrospectively,the incidence of hospital infection statistics,site of infection and pathogenic bacteria test results were stated.RESULTS The hospital infection occurrence rate and multi-site infection occurrence rate in patients with refractory heart failure was higher than patients with general heart failure.Respiratory tract infection（59.6%） was the commonest.Logistic regression analysis suggested that the hospital infection was related to age,hospital stay,combined with diabetes,chronic obstructive pulmonary disease and renal dysfunction.CONCLUSION We should strengthen the surveillance to hospital infection in patients with refractory heart failure.According to the risk factors,early diagnosis and treatment must be regarded.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第12期2421-2423,共3页
Chinese Journal of Nosocomiology
关键词
医院感染
顽固性心力衰竭
临床特点
危险因素
Hospital infection
Refractory heart failure
Clinical characteristics
Risk factors
