摘要
目的了解肾移植患者术后院内感染发病情况、流行病学分布、病原菌种类和预后情况,为制定防控措施提供依据。方法监测我院2013年1月—2015年12月行肾移植手术共576例,观察术后发生院内感染的情况。结果 2013—2015年肾移植术后院内感染50例(8.68%),感染部位主要为肺部、泌尿系和血液感染,病原体有革兰阴性杆菌、革兰阳性球菌、真菌和巨细胞病毒。感染患者给予相应的抗菌、抗病毒治疗,大部分患者治愈,2例死亡。结论肾移植术后感染以肺部感染为主,预防肾移植术后肺部感染,尤其是控制真菌性肺炎的发生,是降低肾移植术后感染发生率的关键。
Objective To investigate the pathogenic condition,epidemiology distribution,pathogenic bacteria types and prognosis of nosocomial infections after kidney transplantation in order to provide basis for establishment for prevention and control measures. Methods A prospective surveillance study was performed for 576 patients undergoing renal transplantation during January 2013 and December 2015,and the situation nosocomial infections after the operation was observed. Results A total of 50 patients（ 8. 68%） underwent nosocomial infections among the 576 patients after renal transplantation. The mainly infected areas were pulmonary,urinary tract and blood infections,and the causative micro-organisms mainly were gram-negative bacillus,gram-positive cocci,fungi and cytomegalovirus（ CMV）. The infected patients were treated with antibiosis and antiviral therapy. Most of the patients were cured,but two patients died. Conclusion The pulmonary infection is the most common infection after the kidney transplantation. Prevention of pulmonary infection after the kidney transplantation,especially fungal pneumonia is the key to reduce the infection rate.
出处
《解放军医药杂志》
CAS
2016年第4期75-77,共3页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
基金
首都临床特色临床研究(z141107002514106)
关键词
肾移植
医院感染
流行病学研究
Kidney transplantation
Hospital infections
Epidemiologic studies
