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肝病患者医院内感染的前瞻性调查

A Prospective Study of Nosocomial Infection in Patients with Liver Diseases

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【作者】 苏智军张奕返叶汉年

【Author】 Su Zhijun, Zhang Yifan, Ye Hannian (Department of Hepatology,Quanzhou First Hospital,Quanzhou,362000)

【机构】 泉州市第一医院肝病科

【摘要】 目的了解我院肝病患者的医院内感染情况。方法对1996年4月1日~1997年5月31日新入院的513例肝病患者的医院内感染进行前瞻性调查。结果医院内感染率为9.55%(49/513),其中重型肝炎的感染率最高,其次为肝硬化和重度慢性肝炎;医院感染部位分布:呼吸道占46.55%,腹腔15.52%,肠道12.07%,口腔部位10.34%,胆系8.62%,其他6.90%。结论肝病患者病情危重、肝炎病毒重叠感染、严重伴发症、侵袭性操作和广谱抗生素的使用是医院内感染的易发因素;医院内感染明显影响肝病的的预后。

【Abstract】 Objective\ To investigate the nosocomial infection in the patients with liver diseases.\ Methods\ A prospective survey of nosocomial infection in 513 cases with various kinds of liver diseases were carried out in our hospital for a 14month period.\ Results\ Incidence of nosocomial infection in patients with liver diseases was 9.55%,nosocomial infection rate in severe hepatitis were significantly higher than that in mild and moderate liver diseases.\ Infection of respiratory tract accounted for 46.55%,infection rate in abdominal cavity,intestinal tract,oral region,gallbladder and bile ducts,and other region were 15 52%,12 07%,10 34%,8 62% and 6 90%,respectively.\ Conclusion\ The factors related to nosocomial infection were the severity of liver diseases,mixed infection of hepatitis virus,severe accompanying diseases,improper medical manipulations and use of broadspectrum antibiotics. Nosocomial infection affected the prognosis of liver diseases obviously.

【关键词】 肝脏疾病医院内感染
【Key words】 liver diseases\ \ nosocomical infection
【基金】 泉州市科技计划资助
  • 【文献出处】 福建医科大学学报 ,JOURNAL OF FUJIAN MEDICAL UNIVERSITY , 编辑部邮箱 ,1998年01期
  • 【分类号】R575
  • 【被引频次】1
  • 【下载频次】17
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