CAJ | 학술논문

目的：探讨重症监护室（ICU ）住院患者发生医院感染的危险因素，为制订医院感染预防控制措施提供科学依据。方法收集重庆市璧山县人民医院814例 ICU 住院患者资料，按医院感染诊断标准分为感染组和非感染组，对其进行回顾调查。按照相关因素先进行单因素分析，并通过建立多因素非条件 Logistic 回归模型筛检ICU 住院患者发生医院感染的危险因素。研究数据采用 SAS9．1统计软件包进行统计分析。结果814例 ICU 患者中，382例发生医院感染，发生率为46．93％。经 Logistic 回归模型分析显示，年龄、病情、住院时间、手术因素、侵袭性操作、使用广谱抗菌药物、使用激素、放疗和化疗治疗、血液透析等是造成 ICU 患者发生医院感染的危险因素。结论开展 ICU 医院感染专项监测，针对重要危险因素加强防范措施可减少医院感染发生。
목적：탐토중증감호실（ICU ）주원환자발생의원감염적위험인소，위제정의원감염예방공제조시제공과학의거。방법수집중경시벽산현인민의원814례 ICU 주원환자자료，안의원감염진단표준분위감염조화비감염조，대기진행회고조사。안조상관인소선진행단인소분석，병통과건립다인소비조건 Logistic 회귀모형사검ICU 주원환자발생의원감염적위험인소。연구수거채용 SAS9．1통계연건포진행통계분석。결과814례 ICU 환자중，382례발생의원감염，발생솔위46．93％。경 Logistic 회귀모형분석현시，년령、병정、주원시간、수술인소、침습성조작、사용엄보항균약물、사용격소、방료화화료치료、혈액투석등시조성 ICU 환자발생의원감염적위험인소。결론개전 ICU 의원감염전항감측，침대중요위험인소가강방범조시가감소의원감염발생。
Objective To explore the risk factors of nosocomial infections among patients in ICU ,and to pro-vide evidence for formulating the clinical prevention strategies .Methods The datas of eight hundred and fourteen patients in ICU were collected in this retrospective study .According to the diagnostic standard of nosocomial infec-tions ,participants were divided into infection group and non infection group ) .The multi factors logistic regression was adopted after single factor regression analysis .All statistics of results were based on SAS 9 .1 .Results The inci-dence of nosocomial infections was 46 .93% (382/814) .The results of logistic regression analysis showed that the ma-jor risk factors influencing nosocomial infections would include age ,illness condition ,surgical operation ,invasive oper-ation ,application of broad-spectrum antibiotics ,et al .Conclusion Active surveillance should be carried out to monitor nosocomial infections ,effective measures should be took to reduce or avoid the risk factors for nosocomial infections .