某医院神经内科重症患者医院感染的发生情况及影响因素分析  

The incidence status and influencing factors analysis of nosocomial infection in patients with severe neurology of a hospital

作　　者：刘金荣[1] 孙艳华[2] 申华[3] LIU Jin-rong;SUN Yan-hua;SHEN Hua(Nursing Department,Zhengzhou Second People's Hospital,Zhengzhou,Henan 450000,China;不详)

机构地区：[1]郑州市第二人民医院护理部,河南450000 [2]郑州市第二人民医院神经内科 [3]郑州市第二人民医院重症医学科

出　　处：《现代预防医学》2020年第23期4377-4380,共4页Modern Preventive Medicine

基　　金：国家脑卒中高危人群干预适宜技术研究及推广项目(GN-2016R0006)。

摘　　要：目的了解某医院神经内科重症患者医院感染的发生情况,并分析医院感染的影响因素。方法选择247例神经内科重症患者作为研究对象,根据是否发生医院感染分为医院感染组和非医院感染组,通过回顾性调查和实验室检查,采用logistic回归分析确定神经内科重症患者医院感染发生的影响因素。结果某医院所有研究对象中,共计43例重症患者发生医院感染,感染率为17.41%,感染部位以呼吸系统(24例,占比55.82%)和泌尿系统(13例,占比30.23%)为主。Logistic回归分析结果发现神经内科重症患者医院感染的独立危险因素包括年龄≥60岁(OR=2.056,95%CI:1.056~4.004)、有意识障碍(OR=3.025,95%CI:1.202~7.615)、使用呼吸机(OR=1.476,95%CI:1.031~2.112)、住院时间≥2周(OR=1.754,95%CI:1.057~2.883)、TP<70 g/L(OR=2.469,95%CI:1.132~5.387)和ALB<25 g/L(OR=2.312,95%CI:1.130~4.728)(OR=2.312,95%CI:1.130~4.728)(P均<0.05)。结论某医院神经内科重症患者医院感染的发生率较高,以呼吸系统和泌尿系统感染为主,年龄≥60岁、有意识障碍、使用呼吸机、住院时间≥2周、TP和ALB指标偏低常是独立危险因素。Objective To survey the status of nosocomial infection in patients with severe neurology of a hospital,and to analyze the influencing factors of nosocomial infection.Methods 247 patients with severe neurologyof a hospital were selected as the research object,and divided into nosocomial infection group and non-nosocomial infection group.The influencing factors of nosocomial infection in patients with severe neurology were analyzed by logistic regression analysis.Results A total of 43 severe patients were occurred nosocomial infection,the infection rate was 17.41%.The infected sites were mainly respiratory system(24 cases,accounting for 55.82%)and urinary system(13 cases,accounting for 30.23%).Logistic regression analysis indicated that theindependent risk factors of nosocomial infection in patients with severe neurology included age≥60 years(OR=2.056,95%CI:1.056-4.004),conscious disorder(OR=3.025,95%CI:1.202-7.615),using ventilator(OR=1.476,95%CI:1.031-2.112),hospital stay≥2 weeks(OR=1.754,95%CI:1.057-2.883),TP<70 g/L(OR=2.469,95%CI:1.132-5.387)and ALB<25 g/L(OR=2.312,95%CI:1.130-4.728)(P<0.05).Conclusion The incidence of nosocomial infection in patients with severe neurology of a hospital is higher,mainly respiratory and urinary system infections.The factors of age≥60 years,conscious disorder,using ventilator,hospital stay≥2 weeks,TP abnormaland ALB abnormal are independent risk factors for nosocomial infection in patients with severe neurology.

关 键 词：神经内科 重症监护室 医院感染 影响因素 LOGISTIC回归分析 

分 类 号：R197.3[医药卫生—卫生事业管理]