摘要
目的探讨心内科住院患者合并医院感染的临床特征和相关危险因素。方法回顾性分析1370例心内科住院患者的临床资料。结果 1370例患者有37例发生医院感染,医院感染率为2.70%;感染部位以呼吸道为主,占45.95%,其次为泌尿道,占18.92%;单因素χ2检验结果显示,年龄>60岁、心功能Ⅲ和Ⅳ级、住院时间>30 d、合并其他疾病、预防应用抗菌药物、侵入性操作和低蛋白血症是医院感染的危险因素,差异有统计学意义(P<0.05)。结论心内科住院患者医院感染发生与多种因素有关,加强抗菌药物的合理利用、加强基础疾病治疗、减少侵入性操作、缩短住院时间等,才能有效降低医院感染的发生。
OBJECTIVE To investigate the clinical features of nosocomial infection of inpatients in cardiology department.METHODS The data of 1370 inpatients in cardiology department were reviewed.RESULTS A total of 37 cases with nosocomial infection were found with infection rate of 2.70%.Respiratory tract（45.9%） and urinary tract（18.9%） were the main infectious areas.Single factor χ2 test showed that age60 years-old,cardiac function classification grade Ⅲ and Ⅳ,stayed in hospital 30 d,cases with other diseases combined,antibiotic prophylaxis,invasive procedures and hypoproteinemia were the related factors to nosocomial infection（P0.05）.CONCLUSIONS Many factors are related to nosocomial infection of inpatients in cardiology department.A lot of measures should be taken to reduce the morbidity of nosocomial infection,such as strengthening the rational use of antibiotics and the treatment for basic disease,reducing the invasive procedures,shortening the hospital stays,and so on.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第8期1536-1537,共2页
Chinese Journal of Nosocomiology
关键词
心内科
住院患者
医院感染
Cardiology department
Inpatients
Nosocomial infection
