肾移植患者术后感染分析与防治对策
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单春华

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R619+.3

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Infection after kidney transplantation
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    摘要:

    目的探讨肾移植患者术后感染的规律,以制定有效的预防控制措施。方法对某医院2007年6月—2010年6月接受肾移植手术的351例患者进行跟踪研究。结果调查期间,肾移植患者术后感染率为18.80%(66/351),其中住院期间医院感染率2.85%(10/351),出院后感染率15.95%(56/351)。出院后感染的患者中,73.21%(41/56)发生在出院后3个月以内。感染患者均以发热为首发症状。55例出院后发生呼吸道感染者病原体阳性率仅16.36%(9/55),其中3例痰培养检出凝固酶阴性葡萄球菌,1例检出肺炎克雷伯菌,1例检出铜绿假单胞菌,4例检出卡氏肺孢子菌。结论肾移植患者出院后3个月内感染危险性最大,是控制感染的重点时期。

    Abstract:

    ObjectiveTo evaluate the features of infection after kidney transplantation, so as make effective prevention and control measures.MethodsFollowup study was conducted on 351 patients who received kidney transplantation in a hospital from June 2007 to June 2010. ResultsPostoperative infection rate in kidney transplant patients was 18.80%(66/351), 2.85%(10/351) of whom were infected during hospital stay, 15.95%(56/351) were infected after discharged from hospital. Among patients who were infected after discharged from hospital, 73.21%(41/56) developed infection within 3 months after discharged. The initial symptom of all patients was fever. Among 55 patients with respiratory tract infection after discharged from hospital, positive detection rate of pathogens was only 16.36%(9/55), sputum culture of 3 patients were detected coagulasenegative Staphylococcus, 1 patient was detected Klebsiella pneumoniae, 1 patient was detected Pseudomonas aeruginosa, and 4 were detected Pneumocystis carinii.ConclusionPatients are at the biggest risk of infection within 3 months after discharge, which is the key period for controlling infection.

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宫庆月,矫玲,单春华.肾移植患者术后感染分析与防治对策[J]. 中国感染控制杂志,2011,10(6):440-441.
GONG Qingyue, JIAO Ling, SHAN Chunhua. Infection after kidney transplantation[J]. Chin J Infect Control, 2011,10(6):440-441.

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  • 收稿日期:2011-03-12
  • 最后修改日期:2011-06-02
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  • 在线发布日期: 2011-11-30
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