系统性红斑狼疮患者医院感染危险因素分析及干预对策

Analysis of clinical risk factors and intervention countermeasures of nosocomial infections in patients with systemic lupus erythematosus

  • 摘要: 目的 探讨系统性红斑狼疮患者发生医院感染的临床危险因素并提出干预对策。方法 选择2011年1月-2016年1月医院接诊98例系统性红斑狼疮患者,观察其医院感染率,分析临床危险因素,并提出干预对策。结果 98例患者中有40例患者发生感染,感染率为40.81%,感染部位主要为呼吸道占35.00%;引起感染的危险因素中,年龄、狼疮涉及脏器、C-反应蛋白、血清白蛋白、激素用量、免疫抑制剂、体温、住院时间、白细胞均具有显著关系(P<0.05)。结论 引起系统性红斑狼疮患者发生医院感染的危险因素较多,在临床上应给予相应针对性的干预对策,在降低感染率、提高预后上具有积极意义。

     

    Abstract: OBJECTIVE To investigate the clinical risk factors of nosocomial infections in patients with systemic lupus erythematosus and puts forward the intervention countermeasures. METHODS A total of 98 cases of patients with systemic lupus erythematosus from Jan. 2011 to Jan. 2016 in hospital were selected. The incidence of infections in hospital was observed, the clinical risk factors were analyzed, and the countermeasures were put forward. RESULTS In 98 patients, 40 patients had infections, with the infection rate of 40.81%. Infections occurred mainly in the respiratory tract, and the proportion was 35.00%(14/40). Among the risk factors of infections, the age, lupus related organs, C-reactive protein, serum albumin, hormone dosage, immune inhibitors, body temperature, length of stay, and white blood cells were significantly related(P<0.05). CONCLUSION There are many risk factors of nosocomial infections in patients with systemic lupus erythematosus, and the corresponding clinical intervention countermeasure should be given to reduce the infection rate and improve the prognosis.

     

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