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目的:探讨泌尿外科住院患者发生感染的主要危险因素。方法:选择2016年1月—2017年1月发生感染的泌尿外科住院患者50例作为观察组,选择同期住院但未发生感染的患者50例作为对照组,分析发生感染的危险因素分析发生感染的危险因素。结果:观察组50例患者中尿道感染37例,占74%;肺部感染9例,占18%;手术切口感染3例,占6%;胃肠道感染1例,占2%。年龄、住院时间、留置导尿管时间观察组[(61.7±5.5)岁、(12.3±4.8)d、(6.3±2.1)d]与对照组[(25.8±3.4)岁、(6.5±2.4)d、(2.7±0.4)d]比较差异均有统计学意义(均P<0.05)。感染的主要病原菌为革兰阴性菌,共43例,占86%。结论:泌尿外科住院患者的感染主要为尿道感染,病原菌以革兰阴性菌为主,缩短住院和留置导尿管时间,加强基础疾病管理可控制感染的发生。
Objective: To explore the main risk factors for infection in inpatients in urology. Methods: A total of 50 inpatients with urological infection who developed infection between January 2016 and January 2017 were selected as the observation group. Fifty patients who were hospitalized but not infected during the same period were selected as the control group. Risk factors for infection were analyzed for infection. Risk factors. Results: In the observation group, there were 37 cases of urinary tract infection in 74 cases (74%), 9 cases of pulmonary infection (18%), 3 cases of surgical incision infection (6%), and 1 case of gastrointestinal infection (2%). Age, hospitalization time, indwelling catheter time observation group [(61.7±5.5) years old, (12.3±4.8)d, (6.3±2.1)d] and control group [(25.8±3.4) years old, (6.5±2.4) d, (2.7 ± 0.4) d] were statistically significant differences (all P <0.05). The main pathogen of infection was gram-negative bacteria, a total of 43 cases, accounting for 86%. Conclusion: Urinary inpatients are mainly infected with urinary tract infections. Gram-negative bacteria are the main pathogens, shortening the time of hospitalization and indwelling catheters, and strengthening basic disease management can control the occurrence of infection.