中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2013年
5期
524-526
,共3页
慢性乙型肝炎%医院感染%临床分析
慢性乙型肝炎%醫院感染%臨床分析
만성을형간염%의원감염%림상분석
Chronic hepatitis B%Hospital infection%Clinical analysis
目的 探讨慢性乙型肝炎患者并发医院感染的相关情况、发生特点和危险因素.方法 对315例慢性乙型肝炎患者的一般情况和临床资料进行回顾性分析,主要包括患者的感染发生部位,病原菌检出情况,并对引发医院感染的危险因素进行分析.结果 315例慢性乙型肝炎患者发生医院感染54例,感染率17.14％,其中首要感染部位为腹腔感染(37.04％).所有患者共检出病原菌84株,其中革兰阴性菌52株,占总检出的61.9％.慢性乙型肝炎患者合并医院感染的相关危险因素为老年患者、住院时间较长、抗菌药物使用不规范、临床分期较重、低蛋白血症、有侵袭性操作和合并基础疾病.结论慢性乙型肝炎患者医院感染发生率较高,以革兰阴性菌为主；应注重改善患者的营养状况,合理使用抗菌药物并加强患者的心理疏导,以有效改善慢性乙型肝炎患者的预后和生活质量.
目的 探討慢性乙型肝炎患者併髮醫院感染的相關情況、髮生特點和危險因素.方法 對315例慢性乙型肝炎患者的一般情況和臨床資料進行迴顧性分析,主要包括患者的感染髮生部位,病原菌檢齣情況,併對引髮醫院感染的危險因素進行分析.結果 315例慢性乙型肝炎患者髮生醫院感染54例,感染率17.14％,其中首要感染部位為腹腔感染(37.04％).所有患者共檢齣病原菌84株,其中革蘭陰性菌52株,佔總檢齣的61.9％.慢性乙型肝炎患者閤併醫院感染的相關危險因素為老年患者、住院時間較長、抗菌藥物使用不規範、臨床分期較重、低蛋白血癥、有侵襲性操作和閤併基礎疾病.結論慢性乙型肝炎患者醫院感染髮生率較高,以革蘭陰性菌為主；應註重改善患者的營養狀況,閤理使用抗菌藥物併加彊患者的心理疏導,以有效改善慢性乙型肝炎患者的預後和生活質量.
목적 탐토만성을형간염환자병발의원감염적상관정황、발생특점화위험인소.방법 대315례만성을형간염환자적일반정황화림상자료진행회고성분석,주요포괄환자적감염발생부위,병원균검출정황,병대인발의원감염적위험인소진행분석.결과 315례만성을형간염환자발생의원감염54례,감염솔17.14％,기중수요감염부위위복강감염(37.04％).소유환자공검출병원균84주,기중혁란음성균52주,점총검출적61.9％.만성을형간염환자합병의원감염적상관위험인소위노년환자、주원시간교장、항균약물사용불규범、림상분기교중、저단백혈증、유침습성조작화합병기출질병.결론만성을형간염환자의원감염발생솔교고,이혁란음성균위주；응주중개선환자적영양상황,합리사용항균약물병가강환자적심리소도,이유효개선만성을형간염환자적예후화생활질량.
Objective To analyze the situations of hospital infection among patients with Chronic Hepatitis B and explore the characteristics and risk factors.Methods Totally 315 patients with Chronic Hepatitis B were chosen and studied to analyze the infection body sites,distributions of pathogens and the risk factors which might cause reproductive tract infections.Results The analysis of 315 cases showed that the infection rate was 17.14％ (54 cases),and the most infection sites was abdominal infection(37.04％).Eightyfour pathogens were detected and the gram-negative bacteria were 52 plant of most(61.9％).Hospital infections of patients with Chronic Hepatitis B were closely related to age,hospital time,using of antibiotics,clinical stage,hypoproteinemia,invasive manipulation and underlying disease.Conclusion It is effective to reduce the infections by treating early,promote the nursing mind and nutritions.Using the antibiotics reasonable and enhance the educations of psychology.
