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时间:2020-05-07
《慢性心力衰竭患者医院感染的临床分析-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、中华医院感染学杂志2014年第24卷第17期ChinJNosocomiolVo1.24No.172014doi:10.11816/cn.ni.2014—133531·论著·慢性心力衰竭患者医院感染的临床分析陈向东,曹淑贞,马军,陈伟丽(金华市磐安县人民医院心血管内科,浙江金华322300)摘要:目的探讨慢性心力衰竭住院患者发生医院感染的临床特征,以制定相应的干预对策。方法回顾性分析2008年1月一2012年12月医院577例慢性心力衰竭患者的临床资料。结果577例慢性心力衰竭患者发生医院感染49例,感染率为8.49;感染部位以呼吸道和泌尿道为主,分别
2、占46.9%和28.6;检出病原菌49株,以革兰阴性菌为主占77.5,革兰阳性菌占18.4,真菌占4.1,前3位病原菌依次为铜绿假单胞菌、大肠埃希菌和肺炎克雷伯菌,分别占28.6、22.5、18.4;医院感染患者相关因素分析显示,年龄大、合并其他基础疾病、心功能不全和射血分数低、使用抑酸药物、低蛋白血症、预防应用抗菌药物、住院时间长、侵入性操作是医院感染的危险因素(P3、特征中图分类号:R181.32文献标识码:A文章编号:1005—4529(2014)17-4269—03ClinicalcharacteristicsofchronicheartfailurepatientscomplicatedwithnosocomialinfectionsCHENXiang—dong,CAOShu-zhen,MAJun,CHENWei—li(PananPeopleSHospital,Jinhua,Zejiang322300,China)Abstract:0BJECTIVEToexploretheclinicalcharacter4、istsofthechronicheartfailurepatientscomplicatedwithnosocomialinfectionssoastoputforwardcorrespondinginterventioncountermeasures.METHODSTheclinicalda—taof577patientswithchronicheartfailurewhoweretreatedinthehospitalwereretr0spective1yanalyzed.RESULTSOfthe577patientswithchroniche5、artfailure,thenosocomialinfectionsoccurredin49caseswiththeinfectionrateof8.49;amongthe49patients,46.9werewiththerespiratorytractinfections,28.6%withtheurinarytractinfections.Atotalof49strainsofpathogenshavebeenisolated,amongwhichthegram-negativebacteriaaccountedfor77.5,thegram-6、positivebacteria18.4,thefungi4.1;thePseudomonasaeruginosa,Escherichiacoli,andKlebsiellapneumoniaerankedthetopthreespeciesofpathogens,accountingfor28.6,22.5,and18.4,respectively.Theanalysisoftherelatedfactorsfornosocomialinfectionsshowedthattheoldage,complicationofotherunderlyin7、gdiseases,cardiacdysfunction,lowejectionfraction,useofacid-suppressingagent,hypoalbuminemia,prophylacticuseofantibiotics,longlengthofhospitalstay,andinvasiveoperationweretheriskfactorsforthenosocomialinfections.C0NCLUS10NThereareavarietyofriskfactorsfornosocomialin—fectionsinth8、epatientswithchronicheartfailure.Itisnecessarytotaketa
3、特征中图分类号:R181.32文献标识码:A文章编号:1005—4529(2014)17-4269—03ClinicalcharacteristicsofchronicheartfailurepatientscomplicatedwithnosocomialinfectionsCHENXiang—dong,CAOShu-zhen,MAJun,CHENWei—li(PananPeopleSHospital,Jinhua,Zejiang322300,China)Abstract:0BJECTIVEToexploretheclinicalcharacter
4、istsofthechronicheartfailurepatientscomplicatedwithnosocomialinfectionssoastoputforwardcorrespondinginterventioncountermeasures.METHODSTheclinicalda—taof577patientswithchronicheartfailurewhoweretreatedinthehospitalwereretr0spective1yanalyzed.RESULTSOfthe577patientswithchroniche
5、artfailure,thenosocomialinfectionsoccurredin49caseswiththeinfectionrateof8.49;amongthe49patients,46.9werewiththerespiratorytractinfections,28.6%withtheurinarytractinfections.Atotalof49strainsofpathogenshavebeenisolated,amongwhichthegram-negativebacteriaaccountedfor77.5,thegram-
6、positivebacteria18.4,thefungi4.1;thePseudomonasaeruginosa,Escherichiacoli,andKlebsiellapneumoniaerankedthetopthreespeciesofpathogens,accountingfor28.6,22.5,and18.4,respectively.Theanalysisoftherelatedfactorsfornosocomialinfectionsshowedthattheoldage,complicationofotherunderlyin
7、gdiseases,cardiacdysfunction,lowejectionfraction,useofacid-suppressingagent,hypoalbuminemia,prophylacticuseofantibiotics,longlengthofhospitalstay,andinvasiveoperationweretheriskfactorsforthenosocomialinfections.C0NCLUS10NThereareavarietyofriskfactorsfornosocomialin—fectionsinth
8、epatientswithchronicheartfailure.Itisnecessarytotaketa
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