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恶性肿瘤患者医院感染的影响因素分析

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目的 分析恶性肿瘤患者医院感染的影响因素,为预防和控制医院感染提供依据.方法 回顾性分析2021 年1 月至2023 年12 月1978 例恶性肿瘤住院患者的临床资料,归纳分析发生医院感染的临床特点及影响因素.结果 1978 例恶性肿瘤患者发生医院感染216 例,感染率为10.92%;感染部位以呼吸系统为主,占52.53%.单因素分析显示,年龄、营养状况、TNM分期、住院时间、侵入性操作、治疗方式为患者发生医院感染的影响因素(P<0.05);多因素分析显示,年龄≥65 岁、营养状况不良、TNM分期Ⅲ~Ⅳ期、住院时间≥30 d、有侵入性操作、行化疗治疗为患者发生医院感染的独立危险因素(P<0.05 且OR>1).结论 恶性肿瘤患者发生医院感染的危险因素较多,临床应针对性采取防控措施以避免感染发生.
Influence Factors of Nosocomial Infection in Malignant Tumor Patients
Objective To analyze influencing factors of nosocomial infection in malignant tumor patients so as to provide the dependable basis for the prevention and controlling infection in hospital.Methods 1978 cases of malignant tumor patients were chosen as study objects in the retrospective investigation.Their clinical data were analyzed to find out influence factors of nosocomial infection.Results Out of 1978 malignant tumor patients,there were 216 cases with nosocomial infections,accounting for 10.92%.Respiratory tract was the main infected site,accounting for 52.53%.The univariate analysis revealed that age,nutri-tion,TNM classification,hospital stay,invasive operation,treatment methods were the influencing factors associated with the noso-comial infections.The differences were statistically significant(P<0.05).Multivariate Logistic regression analysis revealed that age greater than or equal to 65 years old,poor nutrition,Ⅲ to Ⅳ stages of TNM classification,hospital stay longer than or equal to 30 days,invasive operation,chemotherapy were found to be independent risk factors for nosocomial infections(P<0.05 and OR>1).Conclusion Risk factors of nosocomial infections are varied in malignant tumor patients.Targeted intervention of the preven-tion and control measures should be carried out to avoid the occurrence of nosocomial infections.

Malignant tumorNosocomial infectionPredisposing factor

李会玲、杨信太、付禄

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343000 江西省吉安市中心人民医院

恶性肿瘤 医院感染 易感因素

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(12)