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Logistic regression analysis on risk factors of hospitalized patients with hospital acquired infection in the department of gastroenterology |
Shi Shan, Guo Yeli |
The Second Traditional Chinese Medicine Department of Zhuji Municipal Hospital, Zhuji 311800, China |
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Abstract Objective To investigate the related risk factors of inpatients with hospital acquired infection (HAI) in the department of gastroenterology. Methods Five hundred and sixty-five inpatients from August 2014 to January 2016 were selected as the research objects. Relative risk factors of HAI in patients were analyzed with single factor chi-square test and the binary classification unconditional logistic regression equation. Results Eighty-five inpatients in the department of gastroenterology were with HAI and the infection rate was 15.0%. The most common part of infection was the lower respiratory tract (31.7%), followed by the upper respiratory tract (26.8%), and the urinary tract (18.3%). Multivariate Logistic regression analysis showed that age (OR=1.382,95%CI:1.167~4.154), diabetes mellitus (OR=1.454,95%CI:1.150~3.341), the digestive tract tumor (OR=1.382,95%CI:1.167~4.154), the combined use of antibiotics (OR=1.693,95%CI:1.253~4.541), serum albumin levels <40 (g/L) (OR=1.522,95%CI:1.311~2.651), the hs CRP acuity 10 mg/L (OR=1.304,95%CI:1.126~1.984), and invasive operation (OR=1.593,95%CI:1.242~5.761) were independent risk factors of HIA. Conclusion Inpatients in the department of gastroenterology have risks of hospital-acquired infection, and the risk factors were such as age, diabetes, antibiotics application way, the digestive tract tumor, serum albumin, hs-CRP level and the impact of invasive operation.
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Received: 15 June 2016
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[1] 龙盼,沈国峰,李响,等.重症监护病房医院获得性感染患者免疫功能的临床特点[J].中国呼吸与危重监护杂志,2016,15(1):22-25. [2] 孙吉花,于苏国,邢敏,等.某三级综合医院医院获得性感染经济损失评价[J].中华医院感染学杂志,2014,24(21):5399-5401. [3] 沈秉正,宋金春,祝成亮,等.2012年8月—2015年2月武汉大学人民医院消化内科院内获得性感染病原菌的分布、耐药性及危险因素分析[J].现代药物与临床,2015,30(9):1158-1161. [4] 薛菊兰,詹嘉琪,高祖梅,等.住院患者医院感染现患率调查[J].中国消毒学杂志,2013,30(4):332-334. [5] 石珍.消化内科医院感染临床分析[J].中华医院感染学杂志,2013,23(4):793-795. [6] 张宁.消化内科150例感染的临床研究[J].中国医药导刊,2013,15(8):1349-1350. [7] 赵叶芳,王灵红,沈哲.某医院消化内科住院患者医院感染的特点及防控对策[J].中国消毒学杂志,2016,32(2):152-153. [8] 赵慧强,田光,张宝和,等.糖尿病对老年肺结核患者免疫功能的影响及意义[J].转化医学杂志,2013,2(4):222-224. [9] 张春珍,牛春莲,张艳芳,等.消化道肿瘤患者化疗后感染危险因素logistic回归分析[J].中华医院感染学杂志,2016,26(5):1008-1010. [10]徐芳,吴凡,王娅南.低蛋白血症对继发型肺结核免疫相关性影响[J].科技通报,2015,31(8):18-20. [11]杨欣悦,钱传云,樊楚明.高敏C-反应蛋白与降钙素原对感染性疾病预后评估研究[J].中华医院感染学杂志,2014,24(1):22-24. [12]AIASSA V,BARNES AI,ALBESA I. Resistance to ciprofloxacin by enhancement of antioxidant defenses in biofilm and planktonic proteus mirabilis[J]. Biochem Biophys Res Commun,2010,393(1) :84-88. |
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