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目的探讨分析泌尿外科患者发生医院感染的危险因素。方法选取2008年1月-2011年6月医院泌尿外科住院治疗的1962例患者为研究对象,统计其中医院感染的发生率,并将其与性别、年龄、留置尿管时间、合并基础疾病情况及住院时间的相关性进行分析。结果 1962例患者中发生医院感染47例,感染率为2.40%;其中年龄≥60岁感染率为3.45%,高于<60岁的0.78%,留置尿管时间≥7d者为5.38%,高于<7d者的1.21%,合并2种或≥3种基础疾病者为6.02%、2.78%,高于≤1种的1.14%,住院时间为4周和≥2周为7.12%、2.67%,高于<2周的0.90%,差异均有统计学意义(P<0.05)。结论泌尿外科患者发生医院感染的危险因素包括年龄、留置尿管时间、是否合并及合并几种基础疾病、住院时间等,在临床中应引起重视。
Objective To investigate the risk factors of nosocomial infection in urological patients. Methods From January 2008 to June 2011, 1962 patients hospitalized for urology in hospital were enrolled in this study. The incidence of nosocomial infections was calculated and compared with gender, age, indwelling catheter time, underlying diseases and The correlation of hospitalization time was analyzed. Results Among the 1962 patients, 47 cases were nosocomial infection with infection rate of 2.40%. The infection rate of age≥60 years old was 3.45%, higher than 0.78% of <60 years old and 5.38% <7d, 1.21% of patients with 2 or more than 3 kinds of basic diseases, 1.78% of patients with more than 1 disease, 4.12% of hospital stay, 2.67% of patients with ≥2 weeks of hospital stay, At <2 weeks of 0.90%, the differences were statistically significant (P <0.05). Conclusion The risk factors of nosocomial infection in urology patients include age, indwelling catheter time, whether or not to combine and combine several basic diseases, hospitalization time, etc., which should be paid more attention in the clinic.