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目的 了解我院肝病患者的医院感染情况及其危险因素。方法 对 1996年 4月 1日～ 1998年 3月 31日新入院的 848例肝病患者的医院感染进行前瞻性调查。结果 医院感染率为 9.2 0 % ,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 44 .33 % ,腹腔 15 .46 % ,肠道 12 .37% ,胆系8.2 5 % ,口腔部位 7.2 2 % ,其他 12 .37%。结论 肝病患者病情危重、免疫功能低下、肝炎病毒重叠感染、严重并发症、侵袭性操作和广谱抗生素的使用是医院感染的易发因素 ;医院感染明显影响肝病的预后
Objective To understand the prevalence and risk factors of nosocomial infections in patients with liver disease in our hospital. Methods A total of 848 cases of liver disease hospitalized newly admitted from April 1, 1996 to March 31, 1998 were prospectively investigated. Results The prevalence of nosocomial infection was 9.2 0%, among which the infection rate of severe hepatitis was the highest, followed by cirrhosis and severe chronic hepatitis. The distribution of nosocomial infection was 44.33% in respiratory tract, 15.46% in abdominal cavity and 12.37% 8.25% of gallbladder, 7.2% of oral cavity and 12.37% of other. Conclusions The patients with liver disease are in critical condition, immunocompromised, hepatitis virus overlapping infection, severe complications, aggressive operation and the use of broad-spectrum antibiotics are the risk factors of nosocomial infection; nosocomial infection significantly affects the prognosis of liver disease