风湿免疫性疾病患者医院感染分析  

Analysis of nosocomial infections in patients with rheumatic immunologic diseases

作　　者：李建设[1] 高秀兰[2] 韩静[2] 

机构地区：[1]滨州市人民医院风湿免疫科,山东滨州256600 [2]滨州市人民医院内分泌科,山东滨州256600

出　　处：《中华医院感染学杂志》2015年第19期4456-4457,4460,共3页Chinese Journal of Nosocomiology

基　　金：山东省医药卫生科技发展基金资助项目(2011QZ003);山东省自然科学基金资助项目(ZR2010HQ013)

摘　　要：目的探讨风湿免疫性疾病患者医院感染的危险因素,以有效降低患者医院感染率,减轻患者病痛,促进患者早日康复。方法回顾性分析2011年2月-2014年2月医院风湿免疫科收治的173例风湿免疫疾病患者临床资料,调查发生医院感染部位、病原菌及其相关危险因素。结果 173例患者中发生医院感染25例,感染率为14.5%;医院感染部位主要为上呼吸道、下呼吸道、泌尿道,分别占40.0%、16.0%、12.0%;感染病原菌主要为鲍氏不动杆菌和肺炎克雷伯菌,分别占28.0%和24.0%;危险因素主要为免疫抑制剂应用,占60.0%,其次为营养不良及静脉置管,分别占12.0%;糖尿病、引流管、肝硬化所占比例较小,分别为8.0%、4.0%、4.0%。结论医院应深入分析风湿免疫疾病患者医院感染危险因素,并采取有效措施控制医院感染的发生。OBJECTIVE To investigate the risk factors for hospital infections in patients with rheumatological disea‐ses so as to effectively reduce nosocomial infections rate and relieve the pain for patients and promote early recover‐y .METHODS The medical records of 173 cases of hospitalized patients with autoimmune rheumatic diseases treated in the Division of Rheumatology hospital from Feb .2011 to Feb .2014 were retrospectively analyzed .The infected sites ,pathogens and related risk factors were investigated .RESULTS The nosocomial infection rate of 25 cases in 173 cases of patients was 14 .5% .The infected sites were mainly in the upper respiratory tract ,lower respiratory tract ,urinary tract ,and the distribution rate was 40 .0% ,16 .0% ,12 .0% respectively ;infecting pathogens were mainlyAcinetobacterbaumanniiandKlebsiellapneumoniae,holding28% and24% respectively ;riskfactorswere mainly immunosuppressants ,accounting for 60 .0% of the total;followed by malnutrition and venous catheteriza‐tion ,accounting for 12 .0% and12 .0% respectively ;diabetes ,drainage pipe ,cirrhosis of the liver had the smaller proportion of risk factors ,which were only 8 .0 % ,4 .0% and 4 .0% .CONCLUSION The hospitals should deeply analyze the risk factors causing nosocomial infections in hospitalized patients with rheumatological disease ,and take effective measures to reduce the incidence of infections to a minimum .

关 键 词：风湿免疫性疾病 患者 医院感染 

分 类 号：R181.31[医药卫生—流行病学]