医院感染相关死亡危险因素分析  

Related risk factors for mortality due to nosocomial infections

作　　者：李冬梅[1] 王超[2] 刘荣[1] 武迎宏[1] 

机构地区：[1]北京大学人民医院医院感染管理办公室,北京100044 [2]福建医科大学公共卫生学院,福建福州350108

出　　处：《中华医院感染学杂志》2012年第21期4707-4708,共2页Chinese Journal of Nosocomiology

摘　　要：目的了解医院感染死亡患者的基本资料,探讨医院感染对死亡的影响。方法对2008年1月-2011年12月某地区住院患者中感染死亡病历进行调查,并利用北京市医院感染监控系统收集数据,对数据进行统计分析。结果因感染死亡共7855例,与医院感染有关的死亡病例5192例,占66.10%;多因素logistic回归分析发现性别、年龄、手术、入住ICU、泌尿道插管、应用人工呼吸机为医院感染死亡的危险因素。结论≥60岁患者、手术、入住ICU、有泌尿道插管、使用人工呼吸机是医院感染死亡的主要危险因素。OBJECTIVE To understand the general data of the patients who died of nosocomial infections and to explore the influence of nosocomial infections on the mortality.METHODS The hospitalized patients who died of the nosocomial infections were investigated from Jan 2008 to Dec 2011,by means of Beijing regional hospital infection surveillance system,the statistical analysis was performed.RESULTS Totally 7855 cases died of infections during the period,among which 5192 cases were associated with the nosocomial infections,accounting for 66.10%.The multivariate logistic regression analysis showed that the gender,age,surgical operation,stay in ICU,urinary tract catheterization,and application of artificial respirator were the high risk factors for the mortality due to the nosocomial infections.CONCLUSION The more than 60 yeas of age,surgery,hospitalization in ICU,urinary tract catheterization,and application of artificial respirator are the primary risk factors for the patients′ death due to the nosocomial infections.

关 键 词：医院感染 死亡 危险因素 

分 类 号：R181.32[医药卫生—流行病学]