摘要
目的探讨营养风险筛查（nutrition risk screening,NRS）评分与恶性肿瘤患者发生院内感染的关系。方法采用回顾性调查方法,对我院2010年6月-2014年6月收治的3 465例肿瘤患者的医院内感染情况及NRS评分情况进行调查,并对结果进行统计分析。结果 NRS〈和≥3分的肿瘤患者发生院内感染（χ^2=74.36,P〈0.001）及在感染患者中发生多重耐药菌感染的几率（χ^2=4.92,P=0.027）均有统计学差异,≥3分的肿瘤患者发生院内感染及多重耐药菌感染均更多。NRS〈3分和≥3分的肿瘤患者发生院内感染部位无明显差异,首发部位均为呼吸道,其次为消化道感染,感染的菌种均以革兰阴性菌为主,NRS≥3分肿瘤患者发生真菌感染几率高于〈3分的肿瘤患者。结论恶性肿瘤患者NRS评分高者,营养状态更差,发生院内感染及多重耐药几率更高,但患者的营养状态与发生院内感染部位无明显关系。
Objective To investigate the relationship between nosocomial infections and NRS（ nutrition risk screening） score of malignant tumor patients. Methods To analyze the infection and NRS score of 3465 cases of cancer patients in the hospiatal from June 2010 to June 2014 were investigated. Results Malignant tumor patients with NRS 3points and ≥3 points were significantly different in the probability of occurrence of nosocomial infections（ χ^2= 74. 36,P〈0. 001） and multiple drug-resistant infections（ χ^2= 4. 92,P = 0. 027）,and malignant tumor patients with NRS≥3 points had higher probability of nosocomial infection and multi-drug resistant infections. Cancer patients with NRS 3 and ≥3points did not differ significantly in infection site. Starting site was respiratory tract,followed by digestive tract infections.Pathogenic bacteria was mainly gram-negative. Fungal infection chance for the patients with NRS≥3 was higher than that of NRS 3. Conclusions For those malignant tumor patients with high NRS scoring,they have less nutritional status,a higher probability of nosocomial infection and multiple drug resistance. But the nutritional status of patients has no obvious relationship with nosocomial infection site.
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2015年第9期938-940,共3页
Chinese Journal of Disease Control & Prevention
关键词
肿瘤
交叉感染
数据收集
Tumor
Nosocomial infections
Data collection
