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目的研究重型肝炎患者发生医院感染的特点及防控措施。方法通过病例对照研究方法,利用蓝蜻蜓医院感染监控软件,对某医院306例重型肝炎患者发生医院感染的危险因素进行研究。结果在306例重型肝炎患者中,发生医院感染56例、61例次,医院感染率为18.30%、例次感染率为19.93%。感染部位下呼吸道感染居首位,其次是腹腔和胃肠道感染。以酒精性肝炎和丙型肝炎患者医院感染发生率较高。继发医院感染的重型肝炎患者病死率高达75%。结论重型肝炎患者发生医院感染率后果严重,必须加强防控措施。
Objective To study the characteristics of nosocomial infection in patients with severe hepatitis and its prevention and control measures. Methods The risk factors of nosocomial infection in 306 patients with severe hepatitis in a hospital were studied by case-control study method using Lan Yu Hospital infection surveillance software. Results Among the 306 patients with severe hepatitis, there were 56 cases of nosocomial infection and 61 cases of nosocomial infection. The nosocomial infection rate was 18.30%, and the case-prevalence rate was 19.93%. The lower respiratory tract infections at the site of infection ranked first, followed by abdominal and gastrointestinal infections. The incidence of nosocomial infection is higher in patients with alcoholic hepatitis and hepatitis C. The mortality rate of patients with severe hepatitis secondary to hospital infection is as high as 75%. Conclusion The incidence of nosocomial infection in patients with severe hepatitis is serious, and prevention and control measures must be strengthened.