386例重型肝炎医院感染调查分析

摘要

目的：分析重型肝炎患者发生医院感染的特点，为有效预防医院感染的发生提供帮助。方法应用SPSS 13.0统计软件对2009年1月至2013年12月收治的386例重型肝炎中发生医院感染病例进行回顾性分析。结果386例重型肝炎患者中发生医院感染71例，医院感染率为18.39%。感染部位以腹腔感染、呼吸道感染肠道感染为主。病原菌以肺炎克雷伯杆菌、大肠埃希菌和白假丝酵母菌最常见。医院感染发生与年龄、住院时间、侵入性操作和抗菌药物应用正相关（P＜0.05）；医院感染以腹腔感染、呼吸道感染和胃肠感染为主，病死率为71.83%。结论重型肝炎医院感染发生率高，是医院感染的高危人群及导致死亡的危险因素。%Objective To analyze the characteristics of the occurrence of nosocomial infection in patients with fulminant hepatitis and help to effectively prevent the occurrence of hospital infection.Methods We used SPSS 13.0 statistical software for January 2009 to December 2013, 386 cases of hospital infection in severe hepatitis cases were retrospectively analyzed.Results There were 386 cases and 71 cases of hospital infection occurred in patients with severe hepatitis, hospital infection rate was 18.39%. The infection is given priority to with abdominal cavity infection, respiratory tract infection, intestinal infection. Pathogens to pneumoniaKlebsiella bacillus,E. coli and the most commonwhite candida. Hospital infections occur with age, length of hospital stay, invasive operation and application of antimicrobial agents positive correlation (P < 0.05). Hospital infection is given priority to with abdominal cavity infection, respiratory infections and gastrointestinal infection, the case fatality rate of 71.83%.Conclusions Fulminant hepatitis is high incidence of hospital infection, hospital infection of high-risk groups and lead to the risk factors of death.