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目的了解肾移植患者医院感染现状及其影响因素,及时采取干预措施。方法采用目标性监测的方法,对某三级甲等医院器官移植科住院肾移植患者医院感染进行监测。结果共监测肾性贫血肾移植患者170例,发生医院感染65例、78例次,医院感染发生率为38.24%、例次感染率为45.88%。感染部位以泌尿道为主,其次为下呼吸道和胃肠道。贫血,尿管留置时间及术后排斥反应与医院感染的发生关系密切。结论肾性贫血肾移植患者医院感染发生率较高,血红蛋白水平及尿管留置时间是医院感染的独立影响因素。
Objective To understand the current status of nosocomial infections and its influencing factors in renal transplant recipients and to take timely interventions. Methods By means of targeted monitoring, the hospital infection of hospitalized renal transplant patients in the organ transplant department of a third-class hospital was monitored. Results A total of 170 renal transplant recipients with renal anemia were monitored. Among them, 65 were hospital-acquired and 78 were hospitalized. The incidence of nosocomial infection was 38.24% and the rate of nosocomial infection was 45.88%. Urinary tract infection-based site, followed by the lower respiratory tract and gastrointestinal tract. Anemia, catheter indwelling time and postoperative rejection are closely related to the occurrence of nosocomial infections. Conclusion The incidence of nosocomial infections in patients with renal anemia is high, hemoglobin level and catheter indwelling time are the independent influential factors of nosocomial infection.