检验医学与临床2016，Vol.13Issue(9)：1202-1203,1206,3.DOI:10.3969/j.issn.1672-9455.2016.09.018
泌尿道来源大肠埃希菌继发血流感染的危险因素分析
Risk factors of secondary bloodstream infections caused by Escherichia coli from urinary tract
严立 1莫菲 1徐绣宇 1陈海英1
作者信息
- 1. 重庆医科大学附属第一医院检验科 400016
- 折叠
摘要
Abstract
Objective To investigate the secondary bloodstream infections of hospital patients infected by Escherichia coli from urinary tract ;and study the risk factors of secondary bloodstream infections caused by Esche‐richia coli from urinary tract and its isolated rate change .To provide a reasonable scientific evidence for hospital′s preventing and controlling of bloodstream infections by Escherichia coli .Methods Collect test group samples and the same number of negative group samples of secondary bloodstream infections caused by Escherichia coli from urinary tract from 2011-2013 .Use the software of SPSS 17 .0 to analyze the results by univariate chi‐square test and multi‐variate Logistic regression analysis .Calculate the isolated rate for each year and each department in 2011-2013 .Ana‐lyze the Changes of isolation rate by tables and histograms .Results Renal insufficiency(P<0 .05) ,urinary catheters (P<0 .05) ,fever(P<0 .05)and urine leukocytosis(P<0 .05)was statistically significant in the experimental group and negative group ,which are risk factors .Wherein the urinary catheter ,fever and urine leukocytosis have a more sig‐nificant relationship ,which are independent risk factors .Conclusion Secondary bloodstream infections caused by Escherichia coli from urinary tract is the result of multiple factors ,mainly related to the urinary catheter ,fever and u‐rine leukocytosis .For patients with these risk factors should minimize invasive procedures such as urinary catheteriza‐tion ,strict aseptic and disinfection system ;pay close attention to the clinical symptoms and laboratory indexes .The phenomenon of secondary bloodstream infections caused by Escherichia coli from urinary tract has a significantly in‐creased and spread trend in the hospital by analyzing the tables and histograms of isolated rate .关键词
泌尿道/大肠埃希菌/血流感染/危险因素/分离率变迁Key words
urinary tract/Escherichia coli/bloodstream infections/risk factors/isolated rate changes引用本文复制引用
严立,莫菲,徐绣宇,陈海英..泌尿道来源大肠埃希菌继发血流感染的危险因素分析[J].检验医学与临床,2016,13(9):1202-1203,1206,3.
