摘要
目的:分析慢性肾功能不全患者医院感染的危险因素。方法:回顾性选取2019年4月~2021年3月于某院就诊的慢性肾功能不全患者1000例为研究对象,发生医院感染者55例,记录慢性肾功能不全患者感染率及感染部位分布情况,根据电子病历资料收集所有患者的临床资料,以多因素Logistic回归分析法分析慢性肾功能不全患者医院感染的危险因素。结果:1000例慢性肾功能不全患者医院感染率为5.50%,感染部位主要为呼吸系统(50.91%),其次为泌尿系统(29.09%);多因素Logistic回归分析结果显示,年龄≥60岁、住院时间≥30d、白蛋白水平<30g/L、反复侵袭性操作为慢性肾功能不全患者医院感染的危险因素(OR=2.098;2.751;2.257;3.425,P<0.05)。结论:慢性肾功能不全患者医院感染率较高,且其与年龄、住院时间、白蛋白水平、反复侵袭性操作等密切相关,临床应密切检测上述指标并及时予以针对性干预措施以降低患者医院感染率,改善患者预后情况。
Objective:To analyze the risk factors of nosocomial infection in patients with chronic renal insufficiency.Methods:A total of 1,000 cases of patients with chronic renal insufficiency who were treated in a hospital from April 2019 to March 2021 were retrospectively selected as the research objects,and there were 55 cases of nosocomial infections patients among them.The infection rate and the distribution of infection sites in patients with chronic renal insufficiency were recorded.Clinical data were collected from all patients based on electronic medical records,and the risk factors for nosocomial infections in patients with chronic renal insufficiency were analyzed by multivariate Logistic regression analysis.Results:The nosocomial infections rate of 1000 patients with chronic renal insufficiency was 5.50%.The main infection site was the respiratory system(50.91%),followed by the urinary system(29.09%).The results of multivariate Logistic regression analysis showed that age≥60 years,hospitalization time≥30 days,albumin level<30g/L,and repeated invasive procedures were risk factors for nosocomial infections in patients with chronic renal insufficiency(OR=2.098,2.751,2.257,3.425,P<0.05).Conclusion:The rate of nosocomial infections in patients with chronic renal insufficiency is relatively high,and it is closely related to age,length of hospital stay,albumin level,repeated invasive operations,etc.The above indicators should be closely monitored in clinic and targeted intervention measures should be taken in time to reduce nosocomial infections in patients and improve the prognosis of patients.
作者
李静
钟志旭
马伟钦
Li Jing;Zhong Zhixu;Ma Weiqin(Meilin Town Central Hospital,Puning 515300;Puning People's Hospital,Puning 515300)
出处
《数理医药学杂志》
CAS
2021年第10期1478-1481,共4页
Journal of Mathematical Medicine
基金
广东省医学科研基金项目(编号:B2019207)。
关键词
肾功能不全
慢性
医院感染
危险因素
renal insufficiency
chronic
nosocomial infection
risk factors
