摘要
目的探讨慢性阻塞性肺疾病(简称慢阻肺)住院患者院内感染的影响因素。方法选择本院2018年1月至2019年12月期间收治的慢阻肺患者70例,依据是否发生院内感染未感染组(n=47)和感染组(n=23),分析慢阻肺住院患者发生院内感染的影响因素。结果感染组住院时间(≥14d)、肺功能分级(极重度)、抗菌药物应用时间(≥14d)、留置导尿管占比均高于未感染组,差异有统计学意义(P<0.05);经Logistic多项回归分析,住院时间(≥14d)、肺功能分级(极重度)、抗菌药物应用时间(≥14d)、留置导尿管是慢阻肺住院患者发生院内感染的危险因素(OR>1,P<0.05)。结论慢阻肺住院患者院内感染发生与住院时间、肺功能分级、抗菌药物应用时间、留置导尿管有关,临床上应提高对存在该类风险因素患者的重视度,积极采取有效措施进行干预,以降低或预防其院内感染发生的风险性。
Objective To investigate the influencing factors of nosocomial infection in patients with chronic obstructive pulmonary disease(COPD).Methods A total of 70 patients with COPD who admitted in the hospital from January 2018 to December 2019 were selected.The patients were divided into the non-infection group(n=47)and infection group(n=23)according to nosocomial infection.The influencing factors of nosocomial infection in patients with COPD were analyzed.Results The proportions of hospital stays(≥14d),pulmonary function grading(extremely severe),application time of antibacterial agents(≥14d),indwelling catheter in infection group were higher than those in non-infection group(P<0.05).Logistic multiple regression analysis showed that hospital stays(≥14d),pulmonary function grading(extremely severe),application time of antibacterial agents(≥14d),indwelling catheter were risk factors for nosocomial infection in patients with COPD(OR>1,P<0.05).Conclusion The incidence of nosocomial infection is related to the hospital stays,pulmonary function grading,application time of antibacterial agents,indwelling catheter in inpatients with COPD.Clinically,it is necessary to pay attention to the patients with such risk factors,and actively take effective intervention measures to reduce or prevent the risk of nosocomial infection.
作者
王小军
WANG Xiao-jun(Department of Pneumology,The People’s Hospital of Luoning County,Luoyang,Henan 471700,China)
出处
《青岛医药卫生》
2020年第6期441-443,共3页
Qingdao Medical Journal
关键词
慢性阻塞性肺疾病
院内感染
影响因素
Chronic obstructive pulmonary disease
Nosocomial infection
Influencing factors
