摘要
目的探讨重症监护病房(ICU)医院感染危险因素的评价指标,从而建立ICU患者医院感染危险因素评价指标体系。方法对1897例入住ICU的患者进行前瞻性研究,将入选病例的危险因素进行分类分项研究,并对某些指标进行量化,分析其与医院感染发生的相关性。结果指标中单因素分析共有13项与医院感染发生相关,对其进行多元Logistic回归分析,最后纳入的相关指标为APACHEⅡ评分、血清前白蛋白、使用血制品、单纯气管切开、机械通气、中心静脉插管(CVC)、肠内营养等7项。结论将医院感染危险因素分类建立评价指标体系,为建立医院感染预警模型奠定基础。
OBJECTIVE To evaluate the risk factors of nosocomial infection（NI）, then establish the evaluation system for risk factors of NI in ICU. METHODS A total of 1897 ICU patients were enrolled in our study. The risk factors of NI were classified and quantified, then investigated the relativity of the risk factors and NI. RESULTS NI correlated with APACHE Ⅱ score, serum prealbumin level, blood products uese, incision of trachea, mechanical ventilation, central vein cannula and enteral nutrition. CONCLUSIONS The risk factors of NI evaluatied in ICU can to be used to lay the foundation for the model of NI early warning.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2009年第16期2092-2095,共4页
Chinese Journal of Nosocomiology
基金
首都医学发展科研基金(2005-3106)
