慢性肾衰竭患者医院感染的病原学特点及危险因素评价

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (32 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the pathogenic characteristics and risk factors of nosocomial infection in patients with chronic renal failure.Methods A total of 100 patients with chronic renal failure admitted to our hospital from May 2015 to January 2018 were selected as the subjects,and their clinical data were analyzed,including white blood cell count,serum albumin level,preventive use of antimicrobial agents,invasive procedures,complications,length of hospital stay,gender,age,etc.The related risk factors were evaluated.Results The types of infection in patients with chronic renal failure were mainly urinary tract infection,blood circulation system infection,catheter infection,digestive system infection,respiratory infection,etc.,and the probability of respiratory infection was significantly higher than those of the other types of infection (P＜0.05).The results of pathogen isolation in patients with chronic renal failure were mainly Gram-negative bacteria,Gram-positive bacteria and fungi,and the proportion of Gram-negative bacteria was significantly higher than those of Gram-positive bacteria and fungi(P＜0.05).Age≥60 years,hospital stay≥30 days,invasive procedure,combined complications,serum albumin level＜35 g/L,white blood cell count＜4×109/L were related factors of nosocomial infection in patients with renal failure (P＜0.05).Hospital stay≥30 d,invasive procedure,serum albumin level＜35 g/L,white blood cell count＜4×109/L were independent risk factors of nosocomial infection in patients with renal failure (P＜0.05).Conclusion There are many risk factors for nosocomial infection in patients with chronic renal failure.According to their specific infection characteristics,patients should be treated with antibiotics and relevant infection prevention measures should be implemented to control the occurrence of infection.

Key words： Chronic renal failure Nosocomial infection Pathogenic characteristics Risk factors

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	HOU Jing

Cite this article:

HOU Jing. Evaluation of pathogenic characteristics and risk factors of nosocomial infection in patients with chronic renal failure[J]. 中国当代医药, 2019, 26(2): 40-42转45.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I2/40

[1]	韩辉，周巧玲.慢性肾衰竭患者医院感染的病原学特点及危险因素分析[J].中国医学前沿杂志（电子版），2017，9（5）：127-130.
[2]	吴静华，赵惠芬，刘华玲，等.预防性护理对老年肾衰竭透析患者预防感染及提高生活质量的作用[J].国际护理学杂志，2015，34（3）：401-403.
[3]	金立琴.老年内科肾衰竭患者血液透析的疗效及感染的预防[J].湖南中医药大学学报，2013，33（10）：22-23.
	（）（）
[4]	陈辉乐，徐昌隆，金领微，等.老年肾衰竭患者血液透析感染的危险因素分析[J].中华医院感染学杂志，2014，24（4）：911-913.
[5]	王青峰.肾衰竭患者透析治疗的应用与感染护理方式研究[J].世界临床医学，2017，11（17）：37.
[6]	郑俊花.老年内科肾衰竭患者112例的临床透析及感染护理预防[J].中国实用医药，2014，9（16）：208-209.
[7]	杨邦开，王晓慧.试析老年内科肾衰竭患者血液透析的疗效及感染的预防[J].中国农村卫生，2014，（z1）：392-393.
[8]	夏洪，叶莹.老年慢性肾衰竭患者半永久导管相关感染的临床特征及危险因素[J].中国老年学杂志，2017，37（17）：4367-4369.
[9]	陈碧玲，姚平，谭庆玲，等.糖尿病肾病等肾衰竭血液透析患者泌尿系感染临床分析[J].中华医院感染学杂志，2015，25（2）：382-384.
[10]	张慧松，陈旭坤，毛欢欢，等.慢性肾衰竭患者合并急性肾损伤感染的临床危险因素分析[J].中华医院感染学杂志，2016，26（10）：2305-2307.
[11]	左丽娅.肾衰竭患者血液透析医院感染的预防[J].中国伤残医学，2016，24（9）：179-180.
[12]	叶白如，谷禾，杨午红，等.老年慢性肾衰竭维持性血液透析患者医院感染相关因素分析[J].中华医院感染学杂志，2015，25（10）：2247-2249.
[13]	钟红霞.慢性肾衰竭患者血液透析后发生医院感染的危险因素分析[J].中国医院统计，2018，25（1）：29-32.
[14]	肖晶.老年慢性肾衰竭患者血液透析治疗的危险因素进行探讨[J].医药前沿，2017，7（6）：227-228.
[15]	成栋，周华虹，郎旭军，等.慢性肾衰竭血液透析患者泌尿系感染相关因素分析[J].中华医院感染学杂志，2017，27（5）：1007-1010.