内分泌科住院患者医院感染的危险因素分析

Risk factors of hospital infections in endocrinology inpatients

  • 摘要: 目的 分析内分泌科患者住院感染的相关危险因素及临床特点,以期对内分泌科患者住院感染的预防及治疗提供帮助。方法 回顾性分析2013年9月-2015年4月内分泌科住院患者989例,以期找到其相关危险因素及临床特点。结果 内分泌科989例患者中发生医院感染71例,感染率为7.18%;患者年龄、糖尿病及住院时间等因素与感染的发生有密切关系,患有糖尿病的患者具有较高的医院感染发生率,另外,医院卫生环境,日常规章制度也对感染率有一定的影响;65株病原菌中革兰阴性杆菌44株,占67.69%;革兰阳性球菌21株,占32.31%,革兰阴性菌包括大肠埃希菌占32.31%、变形菌占20.00%、克雷伯菌占15.38%,革兰阳性菌以肠球菌占23.08%和表皮葡萄球菌占9.23%;71例感染患者临床表现部位以呼吸道与泌尿道感染比重较高,分别占45.06%和40.85%。结论 内分泌科医院感染发生率偏高;患者年龄、疾病性质及住院时间是影响内分泌科医院感染的主要危险因素;临床病原菌分布广泛,主要以大肠埃希菌、变形菌、克雷伯菌等革兰阴性菌为主;临床表现部位感染以呼吸道、泌尿道感染为主;为减少医院感染率,需积极采取有效的措施。

     

    Abstract: OBJECTIVE To analyze risk factors and clinical features of hospital infections in endocrinology inpatients, so as to provide references for its prevention and treatment. METHODS Clinical data of 989 cases of endocrinology inpatient patients from Sept.2013 to Apr.2015 our hospital were retrospectively analyzed, and associated risk factors and clinical features were analyzed. RESULTS There were 71 cases of infections in 989 patients, with the infection rate of 7.18%. Factors including age, diabetes and the length of time patients had close relationship with infections, patients with diabetes had higher incidence of hospital infections. In addition, the hospital hygienic environment and daily regulations also had a certain effect on infection rate. Among 65 strains of pathogenic bacteria, 44 strains were gram-negative bacteria, accounting for 67.69%, and 21 strains were gram-positive bacteria, accounting for 32.31%. Gram-negative bacteria were mainly Escherichia coli, Proteus and Klebsiella, accounting for 32.31%, 20.00%, and 15.38%, respectively.Gram-positive bacteria were mainly Enterococcus and Epidermis staphylococcus. The clinical manifestations were mainly in respiratory tract and urinary tract in 71 cases of infected patients, accounting for 45.06% and 40.85% respectively. CONCLUSION Endocrinology patients have a high incidence of hospital infections. Patients' age, disease properties, and the length of time were the main risk factors of hospital infections. Clinical pathogenic bacteria are widely distributed, mainly Escherichia coli, Proteus and Klebsiella. Clinical manifestations of sites are mainly respiratory tract and urinary tract infection. It needs to actively take effective measures to reduce hospital infection rates.

     

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