慢性阻塞性肺疾病医院感染危险因素分析  

Analysis of risk factors for nosocomial infection in COPD Patients

作　　者：朱瑞航[1] 屠春林[1] 胡建荣[1] 唐志军[1] 盛飞[1] 刘莺[1] 余艳芳[1] 

机构地区：[1]上海交通大学医学院附属仁济医院嘉定分院呼吸内科,201800

出　　处：《临床肺科杂志》2008年第5期553-554,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨慢性阻塞性肺疾病（COPD）医院感染危险因素。方法调查本院2003年5月2006年6月在呼吸内科医院感染的COPD患者，采用1：1配对病例对照研究。结果无创正压通气（OR=10．604，95％CI：1．566～71．820）、留置管道（OR=4．404，95％CI：1．298-21．590）为独立危险因素，意识清醒（OR=0．435，95％CI：0．201～0．940）为保护性因素。结论对使用无创正压通气的COPD患者，应注重呼吸机管道系统的清洁消毒及医务人员手的卫生；留置管道要严格遵守操作规程，确保管道通畅，尽量缩短留置时间。Objective To investigate the risk factors of nosocomial infection in COPD patients. Methods All the hospitalized COPD patients with nosocomial infection in the department of respiratory medicine of the Jiading Branch from May 2003 to June 2006 were chosen. A 1 ： 1 matched case control study was conduced. Results The independent risk factors were noninvasive positive press ventila- tion （OR = 10. 604, 95%CI：1. 566 -71. 820） and catheterization （OR =4. 404, 95% CI： 1. 298 -21. 590）. Consciousness was posi- tive factor （OR = 0. 435, 95 % CI： 0. 201 - 0. 940）. Conclusions It is very important to patients treated by NPPV cleaning and sterili- zing tubes of respirators and keeping hands hygiene of doctors and nurses. The strict rules of operation must be followed when catheterizing. Drains must ensure fluency. The duration of catheterization must be controlled as short as possible.

关 键 词：COPD 医院感染 危险因素 

分 类 号：R563.9[医药卫生—呼吸系统]