摘要
目的探讨慢性心力衰竭患者合并医院感染的影响因素及预防对策。方法调查950例慢性心力衰竭患者,比较合并医院感染组与无医院感染组在年龄、性别、侵入性诊疗操作、心功能分级等指标差异进行统计学分析。结果 950例患者中发生医院感染90例占9.47%,医院感染组年龄平均为(61.45±13.78)岁、侵入性诊疗操作占35.6%、心功能Ⅲ～Ⅳ级占47.8%、应用抑酸制剂占34.4%、预防应用抗菌药物占40.0%、住院时间(21.84±8.25)d,高于无医院感染组的(54.24±11.45)岁、11.3%、10.7%、9.8%、29.5%、(16.45±3.56)d,差异均有统计学意义(P<0.05),是医院感染的相关因素。结论慢性心力衰竭患者医院感染率较高,影响因素较多,应针对上述因素实施相应的对策,将高危人群纳入重点监测范围,避免不必要侵入性操作,合理使用抗菌药物,及时有效地纠正基础疾病。
OBJECTIVE To explore the related factors leading to the nosocomial infections in the patients with chronic heart failure so as to put forward the prevention countermeasures. METHODS A total of 950 patients with chronic heart failure were investigated, the differences in the indicators such as the age, sex, invasive operation, and cardiac function grading between the patients with infections and the patients without infections were compared and taken for statistical analysis. RESULTS There were nosocomial infections that happened to 90 of 950 （9.47 % ） patients investigated , the mean age of the patients with nosocomial infections was （61.45 ± 13. 78） years, the patients undergoing the invasive operation accounted for 35. 6%, the patients with cardiac function grading between Ill and IV accounted for 47.8% , the patients who used acid-suppressing agents accounted for 34.4% , the patients taking prophylactic antibiotics accounted for 40.0 %, and the hospitalization duration was （21.84 ± 8.25） days, which were higher than those of the patients without nosocomial infections （54.24±11.45） years, 11.3%, 10.7%, 9.8%, 29.5%, and （16.45±3.56）, the differences were statistically significant （P〈0.05）, and those factors were related to the incidence of nosocomial infections. CONCLUSION The incidence of nosocomial infections is high in the patients with chronic heart failure, which may relate to many factors , it therefore necessary to take corresponding countermeasures, incorporate the high-risk population into the scope of key monitoring, avoid the unnecessary invasive operations, use antibiotics reasonably,and treat the underlying dis- eases in a timely manner.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第2期308-309,共2页
Chinese Journal of Nosocomiology
关键词
慢性心力衰竭
医院感染
预防对策
Chronic heart failure
Nosocomial infections
Prevention countermeasure
