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目的:通过分析39例肾内科患者医院感染的危险因素及解决对策,降低肾内科患者医院感染率。方法:分别回顾调查医院内2010年10月到2015年10月引起39例肾内科患者医院感染的危险因素,通过分析患者引起感染的菌群、发生感染的部位等得出相应的恰当的解决对策。结果:通过统计,一共有5个肾内科患者发生医院感染,医院感染率为12.8%,同时随着住院时间越来越长,发生医院感染的患者原来越多,而且感染程度也越来越严重。导致医院感染的危险因素很多,例如长期大量的使用广谱抗生素、住院时间长久、免疫力低下、各种侵入性操作如静脉导管感染、低蛋白血症等等。结论:解决对策为积极防预院内感染,无菌操作,合理用药,提高患者的机体免疫力,防止感染。
Objective: To reduce the nosocomial infection rate of nephrology patients by analyzing the risk factors of nosocomial infection in 39 cases of nephrology patients and the countermeasures. Methods: The risk factors of nosocomial infection in 39 patients with nephrology were investigated in the surveyed hospitals from October 2010 to October 2015 respectively. Corresponding appropriate solutions were obtained by analyzing the groups of patients causing infections and the sites of infection . Results: According to the statistics, a total of 5 nephrology patients had nosocomial infection with a hospital infection rate of 12.8%. At the same time as the length of hospital stay was longer, the number of nosocomial infections was more and the degree of infection was more and more serious . There are many risk factors for nosocomial infections such as long-term use of a broad spectrum of antibiotics, long hospital stays, low immunity, invasive procedures such as venous catheter infections, hypoalbuminemia and the like. Conclusion: The solution is to actively prevent nosocomial infection, aseptic manipulation, rational use of drugs to improve the patient’s immune system and prevent infection.