脑血管病患者医院感染危险因素
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夏应勇

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R181.3+2

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Risk factors for healthcareassociated infection in patients with cerebrovascular diseases
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    摘要:

    目的了解神经内科脑血管病患者医院感染现状及相关危险因素。方法对2013年1—12月某院脑血管病患者医院感染情况和危险因素进行调查分析。结果3 573例脑血管病患者,发生医院感染214例,感染率为5.99%;感染部位以呼吸道(54.67%)为主,其次为泌尿道(25.23%)。单因素分析结果显示,年龄、住院时间、意识障碍、患慢性阻塞性肺疾病(COPD)和糖尿病、侵入性操作、使用抑酸剂、预防性使用抗菌药物与发生医院感染均相关(P<0.05)。多因素logistic回归分析显示,意识障碍、高龄、侵入性操作、患COPD和糖尿病是脑血管病患者发生医院感染的独立危险因素 (均P<0.05)。结论神经内科患者医院感染发生率较高,引起医院感染危险因素较多,应针对以上因素进行合理干预,减少医院感染的发生。

    Abstract:

    ObjectiveTo understand the incidence and related risk factors of healthcareassociated infection(HAI) in neurological patients with cerebrovascular diseases. MethodsThe occurrence and risk factors of HAI in patients with cerebrovascular diseases in a hospital between Jan and December 2013 were investigated and analyzed.  ResultsOf 3 573  investigated patients,214 had HAI, the incidence of HAI was 5.99%;the main infection site was respiratory tract (54.67%), followed by urinary tract (25.23%). Univariate analysis revealed that age,length of hospitalization,disturbance of consciousness,   chronic obstructive pulmonary disease, diabetes mellitus, invasive procedures, application of antacids, and antimicrobial prophylaxis were all related to the occurrence of HAI (P<0.05). Multivariate logistic regression analysis revealed that disturbance of consciousness, old age, invasive procedures, chronic obstructive pulmonary disease, and diabetes mellitus  were independent risk factors for the occurrence of HAI (all P<0.05). ConclusionThe incidence of HAI is high in hospitalized patients of the neurology department,there are multiple risk factors associated with HAI, it is necessary to take corresponding interventions for reducing the incidence of HAI.

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夏应勇,王立云,赵玉美.脑血管病患者医院感染危险因素[J]. 中国感染控制杂志,2015,14(2):111-113. DOI:10.3969/j. issn.1671-9638.2015.02.011.
XIA Yingyong, WANG Liyun, ZHAO Yumei. Risk factors for healthcareassociated infection in patients with cerebrovascular diseases[J]. Chin J Infect Control, 2015,14(2):111-113. DOI:10.3969/j. issn.1671-9638.2015.02.011.

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  • 收稿日期:2014-06-28
  • 最后修改日期:2014-12-10
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  • 在线发布日期: 2015-02-28
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