CAJ | 학술논문

目的：初步了解我院血液透析患者并发感染的流行病学情况。方法选择2010年4月1日~2013年8月1日因为感染而住院的60人次、55例患者，对其临床、生化资料进行统计分析。结果55例患者发生60人次感染，感染率为28.57%。年龄、糖尿病、血白蛋白水平是可能的易感因素。革兰阳性菌感染占51.67%，革兰阴性菌感染占36.67%，导管相关性感染占43.33%；肺部感染为48.33%。药敏结果显示，青霉素、头孢他啶、左氧氟沙星、链霉素对革兰阳性菌均有较高的耐药率；四季之间感染分布无统计学意义。结论血透患者感染率较高，多为肺部感染及导管相关性感染，其感染耐药率很高。
목적：초보료해아원혈액투석환자병발감염적류행병학정황。방법선택2010년4월1일~2013년8월1일인위감염이주원적60인차、55례환자，대기림상、생화자료진행통계분석。결과55례환자발생60인차감염，감염솔위28.57%。년령、당뇨병、혈백단백수평시가능적역감인소。혁란양성균감염점51.67%，혁란음성균감염점36.67%，도관상관성감염점43.33%；폐부감염위48.33%。약민결과현시，청매소、두포타정、좌양불사성、련매소대혁란양성균균유교고적내약솔；사계지간감염분포무통계학의의。결론혈투환자감염솔교고，다위폐부감염급도관상관성감염，기감염내약솔흔고。
Objective To investigate the epidemiological features of infection among hemodialysis patients. Methods A total of 55 hemodialysis hospitalized patients diagnosed with infection were enrolled in this retrospective study from April 2010 to Augest 2013. Clinical date from 55 patients, were collected and analyzed with SPSS software. Results The 55 hemodialysis patients in 60 cases time got infected during the study, and the infection rate was 28.57%. Age, diabetes, hemoglobin were risk factors for infection. Pathogenic analysis showed 51.67% of infection was caused by gram-positive bacteria, 36.67% of infection was caused by gram-negative bacteria. The infection sites included vascu-lar access infection (43.33%) and lung infecton (48.33%). Drug sensitive tests showed that drug resistant rate of gram-positive bacteria to penicillin, ceftazidime, levofloxacin, streptomycin was high. There was no significance in the sea-sonal distribution of infection. Conclusion Infection rate is high in hemodialysis patients. Vascular access infection and lung infection are dominant infection sites.Drug resistance rate is high in infectious hemodialysis patients.