神經內科醫(yī)院感染發(fā)生率及危險因素logisitic回歸分析
發(fā)布時間:2018-03-22 08:19
本文選題:神經內科 切入點:醫(yī)院感染 出處:《中華醫(yī)院感染學雜志》2014年08期 論文類型:期刊論文
【摘要】:目的探討神經內科醫(yī)院感染的發(fā)生率及相關危險因素,以期為神經內科醫(yī)院感染的預防控制提供參考。方法回顧性分析2011年1月-2013年8月673例住院患者臨床資料,分析醫(yī)院感染率及引起感染的危險因素,采用SPSS16.0統計軟件對數據進行統計分析。結果 673例患者中發(fā)生醫(yī)院感染共47例,感染率為6.98%;最常見感染部位依次為呼吸道、泌尿道、皮膚軟組織、胃腸道分別占42.55%、23.40%、14.89%、10.64%;年齡≥65歲、春秋冬季、合并≥2種基礎疾病、意識昏迷、有吸煙史、機械通氣、留置導尿、氣管切開、預防使用抗菌藥物、住院時間≥15d、腦梗死及腦出血患者醫(yī)院感染率分別為9.54%、7.98%、8.28%、12.62%、9.91%、8.96%、10.49%、8.45%、8.23%、8.52%、8.16%、8.76%,明顯高于無以上情況患者醫(yī)院感染率(P0.05)。結論神經內科患者醫(yī)院感染發(fā)生率高,以呼吸道及泌尿道感染最常見,引起醫(yī)院感染發(fā)生的獨立危險因素較多,在對患者診治時要針對性對可能引起醫(yī)院感染的危險因素進行干預以降低患者醫(yī)院感染發(fā)生率。
[Abstract]:Objective to investigate the incidence and risk factors of nosocomial infection in neurology department, so as to provide reference for the prevention and control of nosocomial infection in neurology department. Methods the clinical data of 673 inpatients from January 2011 to August 2013 were retrospectively analyzed. The nosocomial infection rate and its risk factors were analyzed, and the data were analyzed by SPSS16.0 software. Results there were 47 cases of nosocomial infection in 673 patients, the infection rate was 6.98, the most common infection sites were respiratory tract, urinary tract, urinary tract, urinary tract, urinary tract, urinary tract, urinary tract, urinary tract and urinary tract. The skin, soft tissue and gastrointestinal tract accounted for 42.55% and 14.89% 10.64, respectively; the age 鈮,
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