革兰阳性菌感染危险因素分析  

Risk factors of Gram-positive bacterial infections

作　　者：张仁荣[1] 桂心[1] 

机构地区：[1]荆州市第一人民医院西院,湖北荆州434000

出　　处：《热带医学杂志》2016年第1期66-68,共3页Journal of Tropical Medicine

摘　　要：目的探讨革兰阳性菌感染的危险因素。方法选取急诊科收治的200例感染患者为研究对象,对其感染病原菌进行细菌培养,并对80例革兰阳性菌感染情况进行分析,采取统计学软件进行单因素与多因素分析其危险因素。结果研究组与对照组在住院时间≥20 d、脑卒中、低蛋白血症、慢性肾功能不全、中心静脉置管、总置管数≥3个和联用抗生素等方面差异均有统计学意义(P<0.05)。住院时间≥20 d、慢性肾功能不全和中心静脉置管以及联用抗生素均是革兰阳性菌感染的危险因素。结论急诊科革兰阳性菌感染率高,危险因素多,临床中应依据危险因素制定控制措施,降低感染。Objective To explore the risk factors of emergency Gram-positive bacterial infections. Methods 200 patients in emergeney department of infection in our hospital 2010-01/2013-12 were selected as the research object and the pathogenic bacteria were cultured. 80 eases of Gram-positive bacteria infections were analyzed, and statistieal software was used for univariate and multivariate analysis of the risk factors. Results There were significant differences between the study group and eontrol group on the ≥ 20 days hospitalization, stroke, hypoglycemia, chronic renal insuffieieney, central venous catheter, total catheter number ≥3 months and combination with antibiotics （P〈0.05）. Conclusion The clinieal emergency department Gram-positive bacteria infeetion rate was high and with many risk faetors. Clinical control measures should be developed on the basis of risk factors to reduee infection.

关 键 词：革兰阳性菌 危险因素 

分 类 号：R378[医药卫生—病原生物学]