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| Risk factor analysis on nosocomial infection of burn patients |
| Zhou Meiling |
| General Surgery Department, the First People's Hospital of Linhai, Linhai 317000, China |
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Abstract Objective To explore the characteristics and risk factors of nosocomial infection of burn patients, and to provide prevention strategy for it.Methods Totally 376 burn inpatients were investigated retrospectively, and they were divided into the infection group (n=89) and the non-infection group (n=287) according to nosocomial infection. The incidence rate and sites of nosocomial infection were described, and the high risk factors of nosocomial infection were screened by single factor comparison method and multiple factors logistic regression method.Results The incidence rate of nosocomial infection in these 376 burn inpatients was 23.67% (89/376), and the sites of infection were mainly in wound infection (59.55%) and respiratory tract infection (21.35%). Multiple factor analysis result showed that the independent risk factors of nosocomial infection of burn patients included concomitant underlying diseases (OR=2.459, 95%CI:1.513～3.998), area of burn (OR=3.435, 95%CI:2.090～5.647), invasive operation (OR=3.778, 95%CI:2.097～6.807), use of multiple antibiotics (OR=7.040, 95%CI:4.240～11.688), hypoproteinemia (OR=5.173, 95%CI:3.165～8.455) and residual wound (OR=4.755, 95%CI:2.660～8.501).Conclusion The incidence of nosocomial infection is relatively high in burn patients. We should adopt prevention measures such as strengthening nutritional support, raising organism immunity, elimination of residual wounds and scarring, rational use of antibiotics, and strict implementation of aseptic operation, to gradually cut down the incidence rate of nosocomial infection of burn patients.
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Received: 16 October 2018
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[1] ONCUL O, OKSUZ S, ACAR A, et al. Nosocomial infection characteristics in a burn intensive care unit: analysis of an eleven-year active surveillance [J]. Burns, 2014, 40(5): 835-841.
[2] 朱婕,黄璇,程华莉,等.无锡市第三人民医院烧伤科病房环境细菌与烧伤病员创面细菌的同源性分析[J].现代预防医学,2017,44(4):755-759.
[3] 中华人民共和国卫生部.医院感染诊断标准(试行)[S].中华医学杂志,2001, 81(5):314-320.
[4] 何连秀,李蔚,敖琳,等.烧伤病区医院感染的预防与控制[J].中国冶金工业医学杂志,2016,33(1):1-2.
[5] 谭静,胡春,袁凌,等.烧伤患者医院感染病原学特征及危险因素研究[J].重庆医学,2017,46(15):2106-2108.
[6] 王祺,贺光照,薛斌.烧伤患者细菌感染特征分析及相关因素分析[J].中华医院感染学杂志,2018,28(6):904-906,910.
[7] 姚新宝,刘利华,张艳霞,等.烧伤科患者医院感染危险因素分析[J].中国病案,2016,17(8):62-64.
[8] 陈明智,倪鑫,李阿敬.烧伤患者整形外科医院感染病原菌分布情况及影响因素logistic回归分析[J].中国初级卫生保健,2017,31(4):92-94.
[9] 张文斌.烧伤患者创面细菌感染的分布及其耐药性探究[J].医学检验与临床,2018,29(3):54-55.
[10]陈永峰,王大洪,王爱武.烧伤患者切痂植皮术后感染的危险因素分析及防治策略[J].临床医学研究与实践,2017,2(9):79-80.
[11]蔡晨,孙德建,徐庆连,等.108例严重烧伤患儿的临床特点及治疗分析[J].中国农村卫生事业管理,2017,37(9):1130-1132.
[12]李崇进,周昕,彭正进,等.烧伤整形术后感染的危险因素分析及诊治对策[J].中国医药科学,2016,6(7):226-228. |
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