非小细胞肺癌患者化疗期间医院感染的相关因素分析

Related factors for nosocomial infections in non-small celllung cancer patients during chemotherapy

  • 摘要: 目的 探讨非小细胞肺癌(NSCLC)患者化疗期间医院感染的相关因素,加强医院感染控制。方法 2014年7月-2015年4月137例接受化疗治疗的NSCLC患者为研究对象,调查感染率和感染部位,采用单因素χ2检验和多因素logistics回归分析筛选危险因素。结果 137例NSCLC患者感染44例,医院感染率为32.12%。感染部位以下呼吸道和上呼吸道为主,分别占45.45%和36.36%,多因素Logistics回归分析显示NSCLC化疗感染的独立因子有年龄、TNM分期、化疗药物、化疗周期、预防使用抗菌药物、使用激素、中性粒细胞计数和CD4/CD8 (P<0.05)。结论 年龄、TNM分期、化疗药物、化疗周期、预防使用抗菌药物、使用激素、中性粒细胞计数和CD4/CD8是NSCLC患者化疗期间发生医院感染的危险因素,对于具有高风险的患者应在临床过程中加强监控,以改善患者预后。

     

    Abstract: OBJECTIVE To explore the related factors for nosocomial infections in non-small cell lung cancer(NSCLC)patients during chemotherapy and strengthen the control of the nosocomial infections.METHODS A total of 137 patients with NSCLC who received the chemotherapy from Jul 2014 to Apr 2015 were recruited as the study objects,then the infection rates and infection sites were investigated,and the univariate chi-square test and multivariate logistic regression analysis were performed to screen out the risk factors.RESULTS The infections occurred in 44 of 137patients with NSCLC,with the infection rate 32.12%.Of the patients with the nosocomial infections,45.45% had lower respiratory tract infections,and 36.36% had upper respiratory tract infections.The multivariate logistic regression analysis indicated that the independent risk factors for the infections in the NSCLC patients undergoing the chemotherapy included the age,TNM stage,chemotherapy drugs,chemotherapy cycle,prophylactic use of antibiotics,use of hormones,neutrophils counts,and CD4/CD8(P<0.05).CONCLUSION The risk factors for the nosocomial infections in the NSCLC patients during the chemotherapy include the age,TNM stage,chemotherapy drugs,chemotherapy cycle,prophylactic use of antibiotics,use of hormones,neutrophils counts,and CD4/CD8.It is necessary to strengthen the monitoring of the patients at high risk of the nosocomial infections during the clinical treatment so as to improve the prognosis of the patients.

     

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