创伤患者医院感染及相关因素分析

Related factors for nosocomial infection in traumatic patients

  • 摘要: 目的 分析创伤患者发生医院感染的情况及相关因素,以提出有效的防控措施。方法 选取某三甲医院创伤外科2017年6月-2018年9月住院患者为研究对象进行回顾性分析,统计感染部位及感染特征,收集分析患者基本情况及诊疗信息,对患者医院感染的影响因素进行统计学分析。结果 839例住院患者中发生感染患者39例,感染率4.65%;感染部位主要为下呼吸道、泌尿道以及手术部位;39例医院感染患者送检标本中共检出病原菌34株,其中以革兰阴性菌为主,17株占50.00%;多因素Logistic回归分析结果显示,发热天数、导尿管使用天数以及三联抗菌药物使用天数是导致患者发生感染的高危因素(P<0.05)。结论 创伤患者易发生医院内感染,影响因素较多,应加强对患者的密切观察,针对相关影响因素采取有效防控措施,以降低感染发生率。

     

    Abstract: OBJECTIVE To analyze the situation and risk factors of nosocomial infection in traumatic patients, and provide effective prevention and control measures to reduce nosocomial infection. METHODS The inpatients in traumatology department between Jun. 2017 and Sep. 2018 were enrolled, and the incidence and characteristics of infection in the patients were retrospectively analyzed. The basic situation and medical history of the patients were collected and analyzed, and the risk factors of nosocomial infection were statistically analyzed. RESULTS 39 patients were infected during the inpatient period, and the infection rate was 4.65%. Among all infection sites, lower respiratory tract, urinary tract and surgical site were the most common infected sites. Totally 34 pathogens were isolated, dominated by gram-negative bacteria which accounted for 50%. The independent risk factors for the nosocomial infection were number of days with fever, days of using catheter and days of using triple combination of antibiotics (P<0.05). CONCLUSION The incidence of nosocomial infection is high among traumatic patients, and there are various risk factors. Close observation and effective prevention measures should be taken according to the related risk factors so as to reduce the incidence of nosocomial infection.

     

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