發(fā)布時(shí)間：2018-11-09 13:48

【摘要】：目的研究急性心肌梗死患者醫(yī)院感染的流行病學(xué)特征,分析其危險(xiǎn)因素及預(yù)防策略,以期為急性心肌梗死患者醫(yī)院感染的預(yù)防提供參考依據(jù)。方法采用橫斷面研究法,調(diào)查2013年12月-2015年9月317例急性心肌梗死住院患者臨床資料、醫(yī)院感染率以及醫(yī)院感染流行病學(xué)特征;根據(jù)感染的特點(diǎn),對(duì)多項(xiàng)可能的急性心肌梗死患者醫(yī)院感染危險(xiǎn)因素進(jìn)行單因素和多因素分析。結(jié)果 317例急性心肌梗死患者共發(fā)生感染37例、41例次,醫(yī)院感染率為11.67%;感染部位以呼吸道為主,共發(fā)生25例次,占60.98%;單因素分析結(jié)果顯示,年齡、住院天數(shù)、糖尿病、慢性阻塞性肺疾病、心功能等級(jí)、預(yù)防性應(yīng)用抗菌藥物等是影響患者醫(yī)院感染的危險(xiǎn)因素,經(jīng)非條件logistic回歸分析結(jié)果顯示,年齡≥60歲、住院天數(shù)≥7d、合并糖尿病、合并慢性阻塞性肺疾病、心功能等級(jí)Ⅲ~Ⅵ等為急性心肌梗死患者發(fā)生醫(yī)院感染的獨(dú)立危險(xiǎn)因素。結(jié)論急性心肌梗死患者醫(yī)院感染的高危險(xiǎn)因素有高齡、合并基礎(chǔ)疾病、心功能差等,針對(duì)這些人群應(yīng)提前采取預(yù)防措施以降低醫(yī)院感染的發(fā)生率。
[Abstract]:Objective to study the epidemiological characteristics of nosocomial infection in patients with acute myocardial infarction and analyze its risk factors and prevention strategies in order to provide reference for the prevention of nosocomial infection in patients with acute myocardial infarction. Methods the clinical data, nosocomial infection rate and the epidemiological characteristics of nosocomial infection in 317 inpatients with acute myocardial infarction from December 2013 to September 2015 were investigated by cross-sectional study. According to the characteristics of infection, univariate and multivariate analysis was carried out on the risk factors of nosocomial infection in patients with acute myocardial infarction. Results in 317 patients with acute myocardial infarction, there were 37 cases of infection, 41 times of infection, the nosocomial infection rate was 11.677.Respiratory tract was the main site of infection, 25 cases (60.98%). Univariate analysis showed that age, length of stay in hospital, diabetes, chronic obstructive pulmonary disease, cardiac function grade and prophylactic use of antibiotics were the risk factors of nosocomial infection. Age 鈮，

本文編號(hào)：2320587