论文部分内容阅读
目的分析重症肝炎并发医院感染的相关因素及危险因素。方法设计统一表格,对190例患者病例资料进行统计分析,内容包括,患者年龄、性别,医院感染部位、病原菌、病死率、住院时间、侵入性操作、免疫抑制剂使用、抗菌药物使用情况等。结果医院感染率为21.3%,医院感染死亡率为55.3%,感染部位主要为腹腔占46.3%,其次为下呼吸道感染占21.6%;从血、痰、尿、粪及腹水取样细菌学培养检查中,共培养分离出病原菌39株,主要致病菌为革兰阳性球菌,占23.1%,其次为肺炎克雷伯菌占18.0%;患者年龄、住院时间、侵入性操作和抗菌药物的应用与医院感染呈正相关。结论住院时间、侵入性操作及抗菌药物应用时间,是重型肝炎患者易并发医院感染的主要危险因素;尽量缩短住院时间、合理使用抗菌药物以减少重型肝炎患者的医院感染率。
Objective To analyze the related factors and risk factors of nosocomial infection in severe hepatitis. Methods The unified form was designed and the data of 190 cases were analyzed statistically. The data included age, gender, nosocomial infection, pathogen, fatality rate, length of hospital stay, invasive procedure, use of immunosuppressive agents and the use of antibacterials. Results The rate of nosocomial infection was 21.3%. The mortality rate of nosocomial infections was 55.3%. The main infection sites were intraperitoneal (46.3%), followed by lower respiratory tract infections (21.6%). The samples were collected from blood, sputum, urine, , 39 strains of pathogens were isolated from co-culture. The main pathogenic bacteria were gram-positive cocci, accounting for 23.1%, followed by Klebsiella pneumoniae, accounting for 18.0%. The patients’ age, hospitalization time, invasive operation and antibacterial application were similar to those of hospital Infection was positively correlated. Conclusions The length of hospital stay, invasive procedures and the time of antimicrobial treatment are the major risk factors for nosocomial infection in patients with severe hepatitis. Minimizing the length of hospital stay and rational use of antimicrobial agents can reduce the nosocomial infection rate in patients with severe hepatitis.