摘要
目的了解肝硬化患者医院感染特点,为医院感染的防治提供依据。方法回顾性分析肝硬化患者医院感染的临床特点和相关因素。结果医院感染率为21.33%,明显高于全国平均医院感染率(9.1%);医院感染以呼吸道感染和自发性腹膜炎为主,感染的发生与患者年龄、住院时间、肝功能分级、急性上消化道出血以及侵入性操作呈正相关(P<0.05),与白细胞数和白蛋白水平呈负相关(P<0.05)。结论肝硬化患者医院感染率较高,积极改善肝功能,纠正低蛋白血症,避免或减少不必要的侵入性诊疗操作,改善就诊环境,缩短患者住院时间,可降低肝硬化患者医院感染率。
OBJECTIVE To investigate the incidence of hospital acquired infection among cirrhosis patients and analyze its correlated factors.METHODS The whole case history was analyzed retrospectively.RESULTS The incidence of hospital acquired infection was 21.33%,obviously higher than the average hospital infection rate(9.1%).It contained mainly respiratory tract infections and spontaneous bacterial peritonitis.It was positively correlated with patient's age,hospitalization time,liver function,hypoalbuminemia,leukocyte count,acute upper gastrointestinal bleeding and the invasive operations(P〈0.05).CONCLUSIONS Cirrhosis patients have higher hospital acquired infection incidences.The findings indicate the clues for intervention against these major causes of the hospital acquired infection with cirrhosis.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2007年第12期1515-1517,共3页
Chinese Journal of Nosocomiology
关键词
肝硬化
医院感染
危险因素
Cirrhosis,Hospital acquired infection,Risk factors