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目的对急诊科重症患者出现医院感染的危险因素进行分析,对有效预防对策进行探讨。方法在该院在2013年1月—2015年12月期间急诊科所接诊的重症患者965例各项临床资料进行分析,涉及到住院时间,侵入性操作以及感染情况等,对导致感染的危险因素进行总结。结果在该组患者中110例出现院内感染,对应感染率为11.39%。从观察部位上分析可知,以呼吸道感染患者居多,其次为消化道等。侵入性操作、抗生素使用情况以及病症类型等均是导致该类患者出现医院感染的危险因素。结论导致急诊科重症患者出现医院感染的危险因素较为复杂,为实现对治疗期间院内感染的有效控制,帮助重症患者尽快康复,需要给予针对性预防对策。
Objective To analyze the risk factors of nosocomial infection in critically ill patients of emergency department and to discuss the effective prevention measures. Methods The clinical data of 965 critically ill patients admitted to the emergency department from January 2013 to December 2015 in the hospital were analyzed, including the length of hospitalization, invasive procedures and infection, Factors to summarize. Results In this group of 110 cases of nosocomial infection, the corresponding infection rate was 11.39%. Analysis from the observation site shows that the majority of patients with respiratory infections, followed by the digestive tract and so on. Invasive practices, antibiotic use, and the type of illness are all risk factors for nosocomial infections in these patients. Conclusions The risk factors of nosocomial infection in critically ill patients in emergency department are complicated. In order to achieve effective control of nosocomial infections during the treatment period and help the critically ill patients recover quickly, targeted preventive measures are needed.