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目的探讨心律失常患者医院感染的临床特点及影响因素。方法回顾性分析唐山市第八医院2010年1月-2011年12月收治的124例心律失常患者的临床资料,统计医院感染发生率,对患者的感染特点及影响因素进行分析。结果本组心律失常患者的医院感染发生率为16.1%(20/124),以呼吸道感染最常见,G+菌感染7例,占35.0%;G-菌感染11例,占55.0%;经过药敏试验发现病原菌对万古霉素、亚胺培南、阿米卡星、头孢哌酮/舒巴坦、头孢他啶、环丙沙星等敏感性较高。医院感染的发生受到患者年龄、有器质性心脏病以及有创性治疗的影响(P<0.05)。结论临床医师应该了解并掌握患者医院感染的临床特点及影响因素,为患者医院感染的防治工作提供参考依据。
Objective To investigate the clinical characteristics and influencing factors of nosocomial infection in patients with arrhythmia. Methods The clinical data of 124 cases of arrhythmia admitted to the Eighth Hospital of Tangshan from January 2010 to December 2011 were retrospectively analyzed. The incidence of nosocomial infection was calculated and the characteristics and influencing factors of the infection were analyzed. Results The incidence of nosocomial infections in patients with arrhythmia was 16.1% (20/124). The most common respiratory infections were G + infections in 7 cases (35.0%), G-infections in 11 (55.0%), and drug-susceptibility The test found that the pathogen to vancomycin, imipenem, amikacin, cefoperazone / sulbactam, ceftazidime, ciprofloxacin and other high sensitivity. The incidence of nosocomial infections was influenced by patient age, organic heart disease and invasive treatment (P <0.05). Conclusion Clinicians should understand and grasp the clinical characteristics of patients with nosocomial infections and influencing factors for the prevention and treatment of nosocomial infections in patients with reference.