尿毒症患者医院感染的危险因素分析  

Risk Factors of Hospital-acquired Infection among Uremia Patients and Nursing Strategy

作　　者：魏素兰[1] 徐向红[1] 

机构地区：[1]杭州市萧山区中医院供应室,浙江杭州311201

出　　处：《中华医院感染学杂志》2008年第11期1576-1577,共2页Chinese Journal of Nosocomiology

摘　　要：目的了解尿毒症患者医院感染的临床特点及危险因素。方法对2003年4月-2006年12月187例尿毒症患者的临床资料进行回顾性分析。结果61例发生医院感染,感染率为32.6%,常见医院感染部位主要为呼吸系统(54.1%)和泌尿道(21.3%),病原菌检出为大肠埃希菌、克雷伯菌属、表皮葡萄球菌、金黄色葡萄球菌、真菌;肾功能、血清白蛋白、血红蛋白、住院时间、年龄、侵入性操作与医院感染有相关性。结论尿毒症患者医院感染以呼吸系统发生率较高,肾功能衰竭、低白蛋白血症、低血红蛋白、广谱抗菌药物应用、侵入性操作,长时间住院等均是医院感染的危险因素,并针对感染危险因素提出相应护理对策。OBJECTIVE To observe the clinical characteristics and risk factors of the hospital-acquired infection among uremia patients. METHODS The clinical data of 187 cases of uremia were retrospectivety analyzed during from Apr 2003 to Dec 2006. RESULTS There were 61 cases with hospital-acquired infection. The infection rate was 32.6;. The repiratory （54. 1;） and urinary （21. 3;） systems were the main infection sites. The main pathogens were Escherichia coli , Klebsiella [;neumoniae , Staphylococcus epidermidis , S. aureus and fungi. The related factors were renal function, serum albumin, hemoglobin, duration in hospital, age and invasive medical procedures. CONCLUSIONS The hospital-acquired infection with uremia is with higher rate in respiratory system. The risk factors are renal failure, decrease in serum albumin and hemoglobin, abuse use of antibiotics and invasive medical procedures and deserve corresponding nursing strategy.

关 键 词：尿毒症 医院感染 危险因素 

分 类 号：R181.32[医药卫生—流行病学]