急诊危重症患者并发医院感染的相关危险因素分析  

Analysis of Related Risk Factors of Nosocomial Infection in Emergency Critically Ill Patients

作　　者：吴红兰[1] 湛薇[1] WU Honglan;ZHAN Wei(Ganzhou People’s Hospital,Jiangxi Province,Ganzhou 341000,China;不详)

机构地区：[1]江西省赣州市人民医院,江西赣州341000

出　　处：《中国医学创新》2022年第15期96-99,共4页Medical Innovation of China

摘　　要：目的:探讨急诊危重症患者并发医院感染(NI)的相关危险因素。方法:回顾性分析2019年2月-2021年7月就诊于赣州市人民医院急诊科的124例危重症患者临床资料,分析急诊危重症患者并发NI的相关危险因素。结果:124例急诊危重症患者中18例并发NI,占比14.52%。单因素分析显示,是否并发NI患者的年龄、气管切开或插管、留置导尿管、合并糖尿病、抗生素使用种类、机械通气时间、住院时间比较,差异均有统计学意义(P<0.05)。是否并发NI患者的体重指数、性别、合并高血压、疾病类型情况比较,差异均无统计学意义(P>0.05)。多因素分析显示,年龄≥60岁、气管切开或插管、留置导尿管、合并糖尿病、抗生素使用种类>3种、机械通气时间>2 d、住院时间>10 d是急诊危重症患者并发NI的高危因素(P<0.05)。结论:急诊危重症患者并发NI与年龄、气管切开或插管、留置导尿管、合并糖尿病、抗生素使用种类、机械通气时间、住院时间有关。Objective:To explore the risk factors of nosocomial infection (NI) in emergency critically ill patients.Method:The clinical data of 124 critically ill patients who were admitted to the Emergency Department of Ganzhou People’s Hospital from February 2019 to July 2021 were retrospectively analyzed,and the related risk factors of NI in emergency critically ill patients were analyzed.Result:NI was complicated in 18 cases (14.52%) of 124 emergency critically ill.Univariate analysis showed that,there were statistically significant differences in age,tracheotomy or intubation,indwelling catheters,diabetes mellitus,type of antibiotic use,mechanical ventilation time and length of hospital stay in patients with or without NI (P<0.05).There were no significant differences in body mass index,gender,hypertension and disease type in patients with or without NI (P>0.05).Multivariate analysis showed that age ≥60 years,tracheotomy or intubation,indwelling catheters,diabetes mellitus,>3 kinds of antibiotic use,mechanical ventilation time >2 d,length of hospital stay >10 d were high risk factors for NI in emergency critically ill patients (P<0.05).Conclusion:The complications of NI in emergency critically ill are related to age,tracheotomy or intubation,indwelling catheter,diabetes mellitus,type of antibiotic use,mechanical ventilation time,and length of hospital stay.

关 键 词：急诊危重症 糖尿病 医院感染 留置导尿管 

分 类 号：R473[医药卫生—护理学]