老年住院患者医院感染危险因素分析

    The related factors for nosocomial infection in Department of Geriatrics

    • 摘要: 目的:探讨老年住院患者医院感染的相关因素及预防策略。方法:分析673例老年住院患者的临床资料,对可能影响医院感染的相关变量进行单因素分析与Logistic回归分析。结果:673例住院患者中有52例发生医院感染,医院感染好发于上呼吸道、下呼吸道、胃肠道、泌尿道。患者住院时间、年龄、糖尿病、脑血管疾病、侵入性操作5个变量是影响医院感染的相关独立危险因素,住院时间为最主要的因素。结论:老年患者医院感染发生与住院时间、年龄、糖尿病、脑血管疾病及侵入性操作有关。重视危险因素的防治,可降低老年科患者医院感染率。

       

      Abstract: Objective: To investigate the related factors and preventive measures for nosocomial infection(NI) in the Department of Geriatrics. Methods: The clinical data of 673 cases of elderly inpatients were analyzed. The single factor analysis and logistic regression analysis about the variable quantity of the influence factors which induced NI were performed. Results: Among the 673 inpatients,52 patients were gotten NI. The most common NI usually was occurred in lung,upper respiratory tract, gastrointestinal or urinary tract. In the related examination for variable quantity of single factor, the time of staying in hospital, age,diabetes, cerebral vascular disease and invasive manipulation were the independent dangerous factors of NI. The staying time in hospital was the most improtant factor. Conclusions: The time of staying in hospital,age,diabetes,cerebral vascular disease and invasive manipulation were the independent dangerous factors that contribute to NI of inpatients. Prevention and cure of these factors should be emphasized to decrease the incidence of NI in elderly inpatients.

       

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