摘要
目的 了解慢性肝病患者医院感染特点及其危险因素。方法 对 2 0 0 0年 1月～ 2 0 0 2年 12月在某院住院的 1797例慢性活动性肝炎重度、慢性重型肝炎及肝硬化患者医院感染情况进行回顾性调查。结果 医院感染率为 6 .34% ,感染组病死率为 2 9.82 % ,高于非感染组 (10 .99% ) ;腹腔感染占首位 ,病原菌以革兰阴性杆菌为主 ;医院感染的发生与高胆红素和低蛋白血症密切相关。结论 慢性重型肝炎和肝硬化活动期肝病患者医院感染率较高 ;医院感染可影响预后。
Objective To evaluate the feature and risk factors of nosocomial infection (NI) in patients with chronic hepatic diseases. Methods Retrospective investigation was made on 1 797 patients with chronic active hepatitis, chronic severe hepatitis and hepatic cirrhosis. Results NI rate was 6.34%, the mortality of patients with infection ( 29.82%) was higher than that without infection ( 10.99%), the main infection site was abdominal cavity, most pathogens were Gram-negative bacilli, infection was likely to occur if patients developed hyperbilirubinemia or hypoproteinemia. Conclusion The NI rate is higher in patients with chronic severe hepatitis and hepatic cirrhosis; infection can affect the prognosis.
出处
《中国感染控制杂志》
CAS
2004年第1期29-30,共2页
Chinese Journal of Infection Control
关键词
慢性肝病
医院感染
腹腔感染
肝炎
肝硬化
hepatitis
hepatic cirrhosis
nosocomial infection
risk factor
