心血管内科住院患者医院感染的临床特征分析  

Analysis of Clinical Features of Nosocomial Infection in Hospitalized Patients With Cardiovascular Medicine

作　　者：李振超 胡艳杰 席雅曼 张霞[1] 仇宝华[1] LI Zhenchao;HU Yanjie;XI Yaman;ZHANG Xia;QIU Baohua(Department of Cardiology,People's Hospital of Baodi District,Tianjin 301800,China;Department of Infection Management,People's Hospital of Baodi District,Tianjin 301800,China)

机构地区：[1]天津市宝坻区人民医院心内科,天津301800 [2]天津市宝坻区人民医院感染管理科,天津301800

出　　处：《继续医学教育》2020年第8期58-60,共3页Continuing Medical Education

摘　　要：目的分析心血管内科住院患者医院感染的临床特征。方法回顾性分析心血管内科合并院内感染患者的临床资料,分析心血管内科住院患者医院感染的发生率、感染部位、高危因素及对预后的影响。结果 500例心血管内科住院患者的院内感染发生率为7.8%(39/500),感染部位主要有呼吸道、消化道、泌尿道以及皮肤软组织等,其中呼吸道感染的比例最高为58.97%。研究发现诱发院内感染的因素主要与患者的年龄、抗菌药物的使用、住院时间、侵入性操作等有关。感染患者的死亡率高达28.21%显著高于非感染组(P <0.05)。结论心血管内科住院患者具有较高的医院感染发生率,主要与多种因素有关,且患者的预后较差,因此在临床治疗中应针对医院感染高危因素采取对应措施,以有效防控医院感染的发生。Objective To analyze the clinical features of nosocomial infection in hospitalized patients with cardiovascular medicine.Methods The clinical data of patients with cardiovascular infection combined with nosocomial infection were retrospectively analyzed.The incidence of nosocomial infection,the location of infection,high risk factors and prognosis were analyzed.Results The incidence of nosocomial infection in hospitalized patients with cardiovascular disease was 7.8%(39/500).The main infection sites were respiratory tract,digestive tract,urinary tract and skin soft tissue.The highest proportion of respiratory infection was 58.97%.The study found that the factors that induce nosocomial infection are mainly related to the age of the patient,the use of antibiotics,the length of hospital stay,and invasive procedures.The mortality rate of infected patients was as high as 28.21%and significantly higher than that of non-infected patients(P<0.05).Conclusion Inpatients in vascular internal medicine have a high incidence of nosocomial infection,which is mainly related to many factors,and the prognosis of patients is poor.Therefore,in clinical treatment,corresponding measures should be taken for high risk factors of nosocomial infection to effectively prevent and control nosocomial infection.

关 键 词：心血管内科 住院患者 医院感染 临床特征 感染部位 防控措施 

分 类 号：R197[医药卫生—卫生事业管理]