摘要
目的探讨重症肝炎患者发生医院感染的危险因素,为预防医院感染提供依据。方法回顾分析372例重症肝炎患者临床资料,进行统计分析。结果 372例重症肝炎患者中发生医院感染的患者有55例,感染发生率为14.78%,呼吸系统感染19例(34.54%),腹腔感染13例(23.64%),肠道感染11例(20.00%),55例患者中检出病原菌21株,其中革兰阴性菌所占比率最高47.6%。经Logistic回归分析结果显示,住院时间≥30d、有侵入性操作、血中性粒细胞计数<1.5×109/L是重症肝炎患者发生医院感染的独立危险因素。结论重症肝炎患者医院感染发生率较高,应采取针对性措施进行护理干预。
Objective To study the risk factors of nosocomial infection for patients with severe hepatitis to provide reference for nosocomial infection prevention.Method Make retrospective analysis and statistical analysis on clinical information of 372 cases of patients with severe hepatitis.Result Nosocomial infection happens in 55 cases（14.78%）of 372 patients with severe hepatitis,in which 19 cases（34.54%）are respiratory tract infection,13 cases（23.64%）are abdominal infection and 11 cases（20%）are intestinal infection.21 strains of pathogenic bacteria were detected from 55 patients,among which 47.6%are gram-negative bacteria.The result of Logisticregression analysis shows that longer than 30 dof hospitalization time,invasive operation and neutrophil count1.5×109/L are independent risk factors of nosocomial infection for patients with severe hepatitis.Conclusion There is a high incidence of nosocomial infection for patients with severe hepatitis which needs corresponding nursing intervention.
作者
林秀丽
陈茹
陈艳艳
林素燕
Lin Xiuli;Chen Ru;Chen Yanyan;Lin Suyan(The First Affiliated Hospital of Wenzhou Medical University,Wenzhou Zhejiang 325015,China)
出处
《护理与康复》
2018年第5期20-22,共3页
Journal of Nursing and Rehabilitation
关键词
重症肝炎
医院感染
危险因素
护理干预
severe hepatitis
nosocomial infection
risk factor
nursing intervention
作者简介
林秀丽（1978-），女，本科，主管护师
