摘要
目的分析慢性肾衰竭维持性血液透析患者医院感染的情况,探讨其相关危险因素及预防措施。方法回顾性分析血液透析中心慢性肾衰竭维持性血液透析患者的临床资料105例,分析医院感染部位、原发疾病及易感因素。结果 105例血液透析患者发生感染46例,医院感染率43.8%;感染高发部位依次为呼吸道感染、血管通路感染、泌尿道感染;呼吸道感染以肺炎克雷伯菌为主,泌尿道感染以大肠埃希菌为主。最常见的原发疾病依次为糖尿病肾病、慢性肾小球肾炎、高血压性肾病;糖尿病肾病、贫血越严重,清蛋白越低,年龄越大,静脉置导管者医院感染发生率越高,差异均具有统计学意义(P<0.05)。结论加强慢性肾衰竭维持性血液透析患者医院感染因素的管理与控制,明确感染的危险因素,是预防和减少医院感染发生的关键。
Objective To analyze the status of hospital iniection in maintenance hemodialysis patients with chronic renal failure, and to explore the risk factors and preventive measures. Methods 105 patients with chronic renal failure in the hospital were en- rolled to the retrospective analysis, and the infection genetic locus, primarily disease and predisposing factors were analyzed respec tively. Results In a total of 105 cases, there were 46 hospital infection cases,with the infection rate of 43.8%. The infetction ge netic locus were respiratory infection,catheter-related infection and urinary tract infection. The proportion of primary diseases and their hospital infection rate were as follows, diabetic nephropathy（31.4 %, 60.6 % ）, chronic glomerulonephritis（28.6 %, 40.0% ） and hypertensive nephropathy（ 19.1 %,35.0 % ）. Diabetic nephropathy, serious anemia, low albumin and elderly were risk factors（P〈0. 05）. Conclusion It is important to enhance administration and to control hospital infection factors for the prevention and the de- crease of hospital infection in maintenance hemodialysis patients with chronic renal failure.
出处
《国际检验医学杂志》
CAS
2013年第22期2991-2992,共2页
International Journal of Laboratory Medicine
关键词
医院感染
慢性肾衰竭
维持性血液透析
-1临床分析
hospital infection
chronic renal failure
maintenance hemodialysis
clinical analysis
