摘要
目的探讨耐甲氧西林金黄色葡萄球菌(MRSA)医院感染危险因素,为控制MRSA医院感染提供依据。方法收集院内感染MRSA患者(观察组)与未发生院感患者(对照组)各110例,运用非条件Logistic回归和卡方检验统计分析MRSA医院感染危险因素。结果单因素分析显示,包括入院状态等多种因素在观察组和对照组的分布差异有统计学意义(P<0.05);多因素分析显示,入院状况急、住院时间超过15 d、合并其他感染、过多(≥4种)使用抗菌药、机械通气、导尿、胃管、静脉置管、入住ICU及血红蛋白值过高均是诱发MRSA医院感染的危险因素(P<0.05)。结论 MRSA医院感染危险因素主要包括患者入院状况、合并其他感染、抗生素种类、入住ICU、应用激素、有创操作以及血红蛋白值等因素。
Objective To understand the risk factors associated with nosocomial infection of MRSA so as to develop scientific measures for controlling nosocomial infection of MRSA. Method 110 patients with nosocomial infection of MRSA and 110 patients without nosocomial infection of MRSA were firstly chosen as the experimental group and the control group respectively for the study. Then non-conditional Logistic regression was used to conduct an analysis on the risk factors associated with nosocomial infection of MRSA. Findings Single factor analysis showed that the distribution of risk factors such as admission status in the experimental group was different from that in the control group. The difference was statistically significant（ P〈0. 05）. Multiple factors analysis showed that emergent admission,the lengthy hospitalization（ more than 15 days）,complication with other infections,excessive（ more than or equal to four different kinds） use of antibacterial medicines,mechanical ventilation,catheterization,tube,intravenous tube,hospitalization in the ICU and abnormally high hemoglobin value were found to be the factors that induced the nosocomial MRSA infection as observed（ P〈0. 05）. Conclusion Risk factors associated with nosocomial infection of MRSA mainly include emergent admission,complication with other infections,excessive use of antibiotics,hospitalization in the ICU,the use of hormones,invasive operation and abnormally high value of hemoglobin.
出处
《健康研究》
CAS
2016年第4期374-376,共3页
Health Research
