论文部分内容阅读
目的探讨血管内科住院患者医院感染危险因素并分析对策。方法选取2013年1月-2015年6月医院心血管内科住院患者986例,回溯性分析患者医院感染的相关因素,并应用Logistics多因素分析患者医院感染的独立危险因素。结果 986例住院患者发生医院感染138例,感染率为14%;其中上呼吸道感染和下呼吸道感染率最高,分别有33例和35例,占23.91%及25.36%;年龄≥70岁、住院天数>14d、探视过多过频、有ICU住院史、手术、住院期间外出检查、慢性基础疾病和意识障碍为患者发生医院感染的相关因素;Logistics多因素分析表明年龄(OR=10.235,P<0.05)、住院天数(OR=6.253,P<0.05)、探视过多过频(OR=5.241,P<0.05)、手术(OR=4.526,P<0.05)以及慢性基础疾病(OR=4.325,P<0.05)为患者医院感染的独立影响因素。结论血管内科住院患者医院感染的风险较高,临床应增强对相关影响因素的认识,并采取有效防控措施,以降低医院感染的发生。
Objective To investigate the risk factors of nosocomial infection in hospitalized patients and analyze the countermeasures. Methods From January 2013 to June 2015, 986 hospitalized patients with cardiovascular diseases were retrospectively analyzed, and related factors of nosocomial infection were analyzed retrospectively. The independent risk factors of nosocomial infection were analyzed by logistic regression analysis. Results Of the 986 hospitalized patients, 138 cases were hospital-acquired infection with the infection rate of 14%. Among them, the highest rates of upper respiratory tract infection and lower respiratory tract infection were 33 cases and 35 cases, accounting for 23.91% and 25.36%, respectively. > 14 days. There were some factors related to nosocomial infections such as ICU hospitalization, surgery, expedition during hospitalization, chronic basic diseases and disturbance of consciousness. Logistics multivariate analysis showed that age (OR = 10.235, P <0.05) ), Hospital stay (OR = 6.253, P <0.05), hyperopia (OR = 5.241, P <0.05) 0.05) is an independent influencing factor of nosocomial infection in patients. Conclusion In-hospital hospitalized patients with vascular disease have a higher risk of nosocomial infection. Clinical knowledge should be strengthened and relevant prevention and control measures should be taken to reduce the occurrence of nosocomial infections.