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目的 :探讨心内科患者合并医院感染患者的临床特征及相应的干预对策。方法 :我们对2013年8月-2015年8月期间来我院就诊的900例心内科患者的临床资料进行回顾性研究。我们按照患者的实际情况发生院内感染的患者分为感染组,未发生院内感染的患者为感染组,并保持这两组患者的数量一致。之后我们对比两组患者的相关因素之间的差异,探索引发患者感染的原因及特点,并提出相应的干预指导措施。结果 :在发生院内感染的80例患者中,呼吸道感染患者28例,泌尿感染患者25例,胃肠感染18例,其他感染状况患者9例;仅单个部位受到感染的患者有45例,两个部位发生感染患者17例,多个部位感染患者4例;经检查,感染的病菌以格兰阴性杆菌为主,医院感染的相关因素包括年龄大、病程长、合并其他疾病以及住院时间较长等,且应用抗菌药物不能降低感染的比率,其死亡率较高。结论 :心内科患者医院感染较高,感染症状部分不典型,对患者的预后影响较大,良好的干预指导措施包括纠正心力衰竭;合理应用抗菌药物,提高送检标本质量;减少侵入性操作;缩短住院时间等。
Objective: To investigate the clinical characteristics of patients with cardiology and hospital infection and corresponding intervention measures. METHODS: We retrospectively reviewed the clinical data of 900 cardiologists who visited our hospital from August 2013 to August 2015. We in accordance with the actual situation of patients with nosocomial infections were divided into infection group, nosocomial infection in patients infected group, and maintain the same number of patients in both groups. After that, we compared the differences between the two groups of patients, explored the causes and characteristics of patients with infection, and put forward corresponding intervention guidelines. RESULTS: Of the 80 patients with nosocomial infections, 28 were respiratory tract infections, 25 were urinary tract infections, 18 were gastrointestinal infections, and 9 were other infections; 45 were single-site infections and two were Infection occurred in 17 cases of patients with multiple sites in patients with infection in 4 cases; after examination, the infection of gram-negative bacilli-based hospital-related factors, including infection, older, longer duration, with other diseases and longer hospital stay , And the application of antimicrobial drugs can not reduce the infection rate, the mortality rate is higher. Conclusion: Inpatients with cardiology are more likely to have nosocomial infections and atypical signs of infection, which may have a greater impact on the prognosis of patients. Good interventions include correcting heart failure, rational use of antimicrobial agents, improvement of the quality of the submitted specimens, reduction of invasive procedures, Shorten the hospital stay and so on.