首页|196例老年内科住院患者医院感染发生率及其相关因素调查

196例老年内科住院患者医院感染发生率及其相关因素调查

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目的 分析196例老年内科住院患者医院感染发生率及其相关因素.方法 选取本院2019年1月-2022年12月196例老年内科住院患者,依据是否发生医院感染分为医院感染组与无医院感染组,收集患者临床资料,分析医院感染患者临床特征,构建logistic回归分析模型分析医院感染相关影响因素.结果 196例患者中,41例(20.92%)发生医院感染,感染部位主要为呼吸系统(41.46%)、泌尿系统(24.39%)以及消化系统(19.51%),感染病原菌以革兰阴性菌(63.27%)为主;医院感染组合并基础疾病>2种、有侵入性操作、有意识障碍、营养不良、抗生素种类≥2种、抗生素使用时间≥10 d患者占比高于无医院感染组,差异有统计学意义(P<0.05);Logistic回归分析显示,合并基础疾病>2种、有侵入性操作、有意识障碍、营养不良属于老年内科住院患者医院感染危险因素(P<0.05).结论 老年内科住院患者具有较高医院感染发生率,呼吸系统、泌尿系统、消化系统为常见感染部位,且以革兰阴性菌感染为主,相关危险因素主要为合并基础疾病>2种、有侵入性操作、有意识障碍、营养不良等.
The incidence of hospital infection in 196 elderly internal medicine inpatients and the related factors
Objective To analyze the incidence of hospital infection in 196 elderly internal medicine inpatients and the related factors.Methods A total of 196 elderly internal medicine inpatients were selected and divided into the hospi-tal infection group and the non-hospital infection group.Clinical data of the patients were collected to analyze the clinical characteristics of patients with hospital infection.Logistic regression analysis was performed to identify the influencing factors of hospital infection.Results Among the 196 patients,41(20.92%)patients developed hospital infections.The infection sites mainly included respiratory system(41.46%),urinary system(24.39%)and digestive system(19.51%).Gram negative bacteria(63.27%)were main pathogens of infection.The proportions of patients with more than 2 kinds of underlying diseases,patients undergoing invasive procedures,patients with disturbance of consciousness,malnutri-tion,types of antibiotics used≥2 and usage time of antibiotics≥10 days in the hospital infection group were higher than those in the non-hospital infection group(P<0.05).Logistic regression analysis found that having more than 2 kinds of underlying diseases,invasive procedures,disturbance of consciousness and malnutrition were risk factors for hospital in-fection in elderly internal medicine inpatients(P<0.05).Conclusion Elderly internal medicine inpatients have a higher risk of hospital infections.Respiratory system,urinary system and digestive system are common infection sites.Gram negative bacteria are main pathogens of infections.Having more than 2 kinds of underlying diseases,invasive procedures,disturbance of consciousness and malnutrition are risk factors for hospital infections in elderly internal medicine inpa-tients.

Elderly patientInternal medicine departmentHospital infectionInfluencing factor

郑辉才、王远明、王斌、黎永华

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三亚中心医院呼吸与危重症医学科,海南三亚 572000

三亚市疾病预防控制中心结核与慢病科,海南三亚 572000

老年患者 内科 医院感染 影响因素

2025

西部医学
四川

西部医学

影响因子:1.352
ISSN:1672-3511
年,卷(期):2025.37(1)