CAJ | 학술논문

目的：分析重型肝炎患者发生医院感染的特点，为有效预防医院感染的发生提供帮助。方法应用SPSS 13.0统计软件对2009年1月至2013年12月收治的386例重型肝炎中发生医院感染病例进行回顾性分析。结果386例重型肝炎患者中发生医院感染71例，医院感染率为18.39%。感染部位以腹腔感染、呼吸道感染肠道感染为主。病原菌以肺炎克雷伯杆菌、大肠埃希菌和白假丝酵母菌最常见。医院感染发生与年龄、住院时间、侵入性操作和抗菌药物应用正相关（P＜0.05）；医院感染以腹腔感染、呼吸道感染和胃肠感染为主，病死率为71.83%。结论重型肝炎医院感染发生率高，是医院感染的高危人群及导致死亡的危险因素。
목적：분석중형간염환자발생의원감염적특점，위유효예방의원감염적발생제공방조。방법응용SPSS 13.0통계연건대2009년1월지2013년12월수치적386례중형간염중발생의원감염병례진행회고성분석。결과386례중형간염환자중발생의원감염71례，의원감염솔위18.39%。감염부위이복강감염、호흡도감염장도감염위주。병원균이폐염극뢰백간균、대장애희균화백가사효모균최상견。의원감염발생여년령、주원시간、침입성조작화항균약물응용정상관（P＜0.05）；의원감염이복강감염、호흡도감염화위장감염위주，병사솔위71.83%。결론중형간염의원감염발생솔고，시의원감염적고위인군급도치사망적위험인소。
Objective To analyze the characteristics of the occurrence of nosocomial infection in patients with fulminant hepatitis and help to effectively prevent the occurrence of hospital infection.Methods We used SPSS 13.0 statistical software for January 2009 to December 2013, 386 cases of hospital infection in severe hepatitis cases were retrospectively analyzed.Results There were 386 cases and 71 cases of hospital infection occurred in patients with severe hepatitis, hospital infection rate was 18.39%. The infection is given priority to with abdominal cavity infection, respiratory tract infection, intestinal infection. Pathogens to pneumoniaKlebsiella bacillus,E. coli and the most commonwhite candida. Hospital infections occur with age, length of hospital stay, invasive operation and application of antimicrobial agents positive correlation (P < 0.05). Hospital infection is given priority to with abdominal cavity infection, respiratory infections and gastrointestinal infection, the case fatality rate of 71.83%.Conclusions Fulminant hepatitis is high incidence of hospital infection, hospital infection of high-risk groups and lead to the risk factors of death.