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目的 了解慢性肝病患者医院内感染情况。方法 从近 10年住院的 2 6 0 0例慢性肝病中采用分层抽样 ,抽取肝硬化 2 2 0例、慢性肝炎轻度 140例和中度 16 0例 ,进行医院内感染的调查分析。结果 总医院内感染率为 33.0 8% (172 /5 2 0 ) ,以肝硬化患者医院内感染率 5 3.6 4% (118/2 2 0 )最高。感染常见部位依次为上呼吸道、腹腔、下呼吸道和肠道。致病菌以革兰阴性菌为主(92 .31% )。医院内感染与住院时间长短和各种侵袭性诊疗操作有关。结论 慢性肝病患者医院内感染率较高 ,应引起临床医师的重视。
Objective To understand the prevalence of nosocomial infections in patients with chronic liver disease. Methods Twenty-one thousand cases of chronic liver disease hospitalized in the recent 10 years were stratified by random sampling, 220 cases of cirrhosis, 140 cases of mild chronic hepatitis and 160 cases of moderate chronic hepatitis were collected for investigation and analysis of nosocomial infections. Results The total infection rate in hospital was 33.0 8% (172/520), and the highest infection rate in hospital was cirrhosis 53.64% (118/2 20). Infectious common sites followed by the upper respiratory tract, abdominal cavity, lower respiratory tract and intestinal tract. Gram-negative bacteria are the main pathogens (92.31%). Infection and hospital length of hospitalization and a variety of invasive diagnosis and treatment operations. Conclusion Infection rate of patients with chronic liver disease is high, which should be taken seriously by clinicians.