论文部分内容阅读
目的探讨心内科患者院内感染的影响因素及预防干预对策。方法选取2014年1月-2017年1月间本院心内科感染患者50例为研究组,同期本院心内科收治的患者50例为对照组。观察两组患者的感染部位,记录相关影响因素,对可疑因素进行多因素Logistic回归分析。结果本院心内科收治的839例患者中,50例发生感染,占5.96%。其中感染率最高的为上呼吸道感染,其次为下呼吸道感染、泌尿系统感染。研究组中存在并发症的患者比例(70.00%)明显高于对照组(22.00%),差异有统计学意义(P<0.05);研究组患者心功能分级为Ⅳ级的比例(50.00%)明显高于对照组(16.00%),心功能分级为Ⅲ级的比例(40.00%)明显低于对照组(48.00%),差异有统计学意义(P<0.05)。患者年龄、住院时间、抗生素使用、存在并发症、接受侵入性操作、心功能分级偏高均为心内科患者院内感染的危险因素。结论心内科患者院内感染主要以呼吸道和泌尿道感染为主,应针对危险因素进行干预,降低院内感染发生率。
Objective To investigate the influencing factors of nosocomial infection in patients with cardiology and preventive measures. Methods Fifty patients with cardiac infection in our hospital from January 2014 to January 2017 were selected as the study group and 50 patients admitted to our hospital were selected as the control group. The infection sites of the two groups were observed, the related factors were recorded, and the multivariate Logistic regression analysis was used to analyze the suspicious factors. Results Among the 839 patients admitted to our hospital, 50 cases were infected, accounting for 5.96%. The highest infection rate was upper respiratory tract infection, followed by lower respiratory tract infection and urinary tract infection. The proportion of patients with complications in the study group (70.00%) was significantly higher than that in the control group (22.00%) (P <0.05). The proportion of study group with grade Ⅳ (50.00%) was significantly higher (40.00%) was significantly lower than that of the control group (48.00%), the difference was statistically significant (P <0.05), which was higher than that of the control group (16.00%). Patient age, length of stay, antibiotic use, presence of complications, invasive procedures, and high cardiac function were all risk factors for nosocomial infections in cardiology patients. Conclusions Infection of nosocomial infections in patients with cardiology is mainly caused by respiratory and urinary tract infections. Risk factors should be intervened to reduce the incidence of nosocomial infections.