106例重型肝炎并发医院感染的危险因素分析  

Study of risk factors of acquiring nosocomial infection in severe hepatitis

作　　者：邓蕙[1] 段明纲[1] 黄文祥[1] 辛小娟[1] 

机构地区：[1]重庆医科大学附属第一医院感染科,400016

出　　处：《重庆医学》2006年第1期49-51,共3页Chongqing medicine

摘　　要：目的探讨重型肝炎患者并发医院感染的危险因素。方法对重庆医科大学附属第一医院1998年12月～2003年12月发生医院感染的106例重型肝炎患者的危险因素进行1：1病例对照研究。结果重型肝炎患者的医院感染率为40．61％，重型肝炎患者发生医院感染的病死率为64．15％。感染部位以腹腔、下呼吸道和胃肠道为主。发生医院感染的危险因素为住院时间长、接受侵袭性操作、低蛋白血症、抗生素使用种类多、合并其他并发症。结论重型肝炎患者的医院感染率高，为医院感染的高危人群。To study some risk factors of acquiring nosocomial infection in severe hepatitis. Methods One hundred and six cases of severe hepatitis with nosocomial infection from the inpatients of a teaching hospital were chosen for 1 ： 1 cas-control study, Results The incidence rate of nosocomial infection in severe hepatitis was 40. 61%, and the fatality rate of it was 64. 15%, The organs easiest to be attacked with nosoncomial infection were the abdomen, the lung and the alimentary tract, Some risk factors of acquiring nosocomial infection in severe hepatitis remained significant through logistic regression, such as long term of hospitalization, receiving inva save operation,low-protein-concentration, taking antibiotics more than 3 kinds and havmg complication of severe hepatitis. Conclusion The incidence rate of nosocomial infection in severe hepatitis is high,so they are high risk po -pulation.

关 键 词：重型肝炎 医院感染 危险因素 

分 类 号：R575.1[医药卫生—消化系统]