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肾移植术后患者医院感染目标性监测及危险因素分析 被引量:14

Targeted monitoring of nosocomial infections in renal transplant patients and analysis of risk factors
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摘要 目的探讨肾移植术后患者发生医院感染的情况及其危险因素,并提出相关的预防控制措施,降低肾移植患者术后医院感染的发生率。方法对2008年1月-2011年12月医院器官移植病房进行同种异体肾移植手术患者的医院感染情况,进行前瞻性监测并填写统一的"肾移植患者医院感染目标性监测登记表"。结果共监测肾移植患者329例,发生医院感染125例,感染率为38.00%;感染部位以泌尿系最多,占60.13%,其次为下呼吸道占26.80%;留置尿管时间越长,泌尿系感染发生率越高(P<0.05);医院感染危险因素中,住院时间长是肾移植患者术后医院感染的危险因素,差异有统计学意义(P<0.05)。结论针对肾移植患者术后医院感染危险因素,采取相关有效的防范措施,降低肾移植患者术后感染率,提高患者生存质量。 OBJECTIVE To study the status and risk factors of nosocomial infections of renal transplant patients and take effective measures to reduce the incidence of nosocomial infections.METHODS Prospective monitoring was carried out to survey the nosocomial infections of all renal transplant patients that adopted to the organ transplantation unit from Jan 2008 to Dec 2011,and the registration forms were filled out.RESULTS Of the 329 patients investigated,127 patients were with nosocomial infections and the infection rate was 38.00%.The infections occurred mainly in the urinary tract(60.13%) and lower respiratory tract(26.80%).The longer the time for indwelling catheter,the higher the incidence rate of urinary tract infections(P0.05).The nosocomial infections were associated with the long hospital stay of the renal transplant patients,the difference was statistically significant(P0.05).CONCLUSION For the renal transplant patients with nosocomial infections,it is necessary to take effective measures to prevent the risk factors so as to reduce the incidence of the nosocomial infections and improve the quality of life.
出处 《中华医院感染学杂志》 CAS CSCD 北大核心 2013年第4期823-825,共3页 Chinese Journal of Nosocomiology
基金 山东省山东大学高校院所自主创新计划(201102069)
关键词 肾移植患者 医院感染 目标性监测 危险因素 Renal transplant patient Nosocomial infection Targeted monitoring Risk factor
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