心胸外科住院患者医院感染相关危险因素分析  

Analysis on related risk factors of hospital infections in inpatients in cardiothoracic surgery department

作　　者：杨俊波[1] 黄晓洁[1] 刘日辉[1] 陈家军[1] 张拥军[1] 詹波涛[1] 聂荣华[1] 胡知明 

机构地区：[1]襄阳市中心医院心胸外科,湖北襄阳441021

出　　处：《中华医院感染学杂志》2015年第7期1601-1603,共3页Chinese Journal of Nosocomiology

基　　金：湖北省自然科学基金资助项目(2013ckb031)

摘　　要：目的了解心胸外科住院患者医院感染现状,探讨心胸外科住院患者医院感染的危险因素,为预防控制医院感染的发生、规范医院感染管理,提供相关依据。方法回顾性分析2005年1月-2013年6月在医院心胸外科4 252例住院患者的临床资料,采用多因素logistic回归分析筛选心胸外科住院患者发生医院感染的危险因素。结果心胸外科4 252例住院患者发生医院感染204例,感染为4.80%;医院感染率从2005年的6.90%下降至2013年的3.92%,随时间呈逐年下降的趋势;呼吸道感染最高,共118例占57.8%;医院感染病原菌前3位分别为:肺炎克雷伯菌、大肠埃希菌和金黄色葡萄球菌,分别占27.40%、19.86%和12.33%;经多因素logistic回归分析显示,患者年龄、住院天数、抗菌药物联用、伴有基础疾病、有侵入性操作是心胸外科住院患者医院感染的危险因素。结论心胸外科住院患者易发生医院感染,应加强医院感染管理,严格执行无菌操作,减少医院感染的发生。OBJECTIVE To understand the hospital infection status in the cardiothoracic surgery department,and explore risk factors for hospital infections in inpatients in the cardiothoracic surgery department,so as to provide the basis for prevention and control of the incidence of hospital infections and regulate nosocomial infection management.METHODS We retrospectively reviewed clinical medical records of 4 252 inpatients in the cardiothoracic surgery department from Jan.2005 to Jun.2013,and the multivariate logistic regression analysis of risk factors was conducted for screening infected patients in the cardiothoracic surgery department.RESULTS There were 204 cases of hospital infections in 4 252 inpatients in the cardiothoracic surgery department,the infection rate was4.80%,which showed time-depending declining trend from 6.90%in the year 2005 to 3.92%in 2013.The incidence of respiratory infections was the highest（118cases,accounting for 57.8%）.The top three pathogens were：Klebsiella pneumoniae（27.40%）,Escherichia coli（19.86%）and Staphylococcus aureus（12.33%）.The multivariate logistic regression analysis showed that age,length of stay,combination with antibiotics,the underlying disease,and invasive procedures were risk factors for infections in inpatients in the cardiothoracic surgery department.CONCLUSIONInpatients in the cardiothoracic surgery department are likely to have hospital infections,hospital infection control and strict aseptic operation should be strengthened so as to reduce hospital infections.

关 键 词：心胸外科 医院感染 危险因素 抗菌药物 调查分析 

分 类 号：R181.32[医药卫生—流行病学]