摘要
目的 分析慢性肾衰竭死亡患者医院感染的临床和细菌学特征 ,寻找防治对策。方法 统计患者的医院感染、易感因素和细菌药敏。结果 医院感染死亡的高危人群是老人、糖尿病和动脉硬化患者 ,最常见为肺感染 ,常导致呼吸衰竭而致死 ;最常见的易感因素是侵袭性操作 ;医院感染菌种复杂 ,耐药率高。结论 要重视高危人群的医院感染 ,缩短住院时间 ,减少和规范侵袭性的操作 ;由于菌种复杂 ,治疗中要积极进行细菌培养 ,根据药敏选药才可能有效。
OBJECTIVE To investigate the clinical and bacteriological feature of nosocomial infection in the dead patients with chronic renal failure. METHODS The nosocomial infection conditions,predisposing factors and bacteria cultivation were investigated. RESULTS The high risk group of the patients died from nosocomial infection were with the old-age,diabetic nephropathy and artery nephrosclerosis,the most common nosocomial infection was the pneumonia,the most common predisposing factor was the invasive operation. CONCLUSIONS For reducing the nosocomial infection we must pay attention to invasive operations in the patients of high risk group,in treatment of infections we must select the antibiotics according to bacterial cultivation.
出处
《中华医院感染学杂志》
CAS
CSCD
2004年第5期524-526,共3页
Chinese Journal of Nosocomiology
关键词
慢性肾衰竭
医院感染
死亡
Nosocomial infection
Chronic renal failure
Death
