摘要
目的探讨肝衰竭患者医院感染的临床特征及干预措施,从而有效降低肝衰竭患者医院感染的发生。方法选择2013年1月-2015年1月医院接诊的98例肝衰竭患者临床资料,其中发生医院感染80例,将其分为存活组30例和死亡组50例,比较两组患者的感染情况、临床特征等,数据采用SPSS18.0软件进行统计分析。结果 98例肝衰竭患者中发生医院感染80例,感染率为81.63%;肝衰竭患者医院感染部位主要为腹膜炎、呼吸道、胃肠道,感染率分别为41.25%、23.75%、17.50%,并发两种或多种感染率达36.25%;感染患者送检标本共检出病原菌200株,其中革兰阴性菌106株占53.00%,革兰阳性菌68株占34.00%,真菌26株占13.00%;存活组肝衰竭医院感染患者采取干预措施后其总有效率为96.67%。结论对肝衰竭医院感染患者采取有效的防御和干预性措施,可有效降低肝衰竭患者医院感染的发生。
OBJECTIVE To explore the clinical features and interfering measures of hospital infections in patients with liver failure so as to effectively reduce the incidence of hospital infections .METHODS Totally 98 cases of pa‐tients with liver failure admitted from Jan .2013 to Jan .2015 were selected .Among them ,80 cases were found to be infected .They were divided into survival group with 30 cases and the death group with 50 cases .Their infec‐tion condition and clinical features were compared and analyzed statistically by SPSS 18 .0 software .RESULTS A‐mong 98 cases of liver failure patients ,80 cases appeared hospital infections and the infection rate was 81 .63% . The main sites of infection were peritoneum ,respiratory tract and the infection rates were 41 .25% ,23 .75% and 17 .50% respectively .Patients complicated with multiple infections accounted for 36 .25% .A total of 200 strains of pathogens were detected from the inspected samples , including 106 strains of gram‐negative bacteria （53 .00% ） ,68 strains of gram‐positive bacteria （34 .00% ） and 26 strains of fungi （13 .00% ） .The total effective rate of the survival group after intervening measures was 96 .67% .CONCLUSION Effective protection and inter‐ventional measures to liver failure patients with hospital infections can reduce the infection rate .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第20期4701-4702,4708,共3页
Chinese Journal of Nosocomiology
基金
山东省科技厅研究基金资助项目(2012786612)
关键词
肝衰竭
医院感染
临床特征
Liver failure
Hospital infection
Clinical features
