中国感染控制杂志2017，Vol.16Issue(3)：207-210,214,5.DOI:10.3969/j.issn.1671-9638.2017.03.004
骨科创伤患者医院获得性肺炎的危险因素
Risk factors for healthcare-associated pneumonia in patients with orthopedic injury
摘要
Abstract
Objective To analyze the risk factors for healthcare-associated pneumonia (HAP) in patients with orthopedic injury,provide the basis for making prevention and control measures.Methods HAP occurred in patients with orthopedic injury and admitted to the department of orthopedics of a hospital from June 2011 to May 2015 were investigated retrospectively,risk factors were analyzed by univariate and multivariate logistic regression methods.Results A total of 2 578 patients with orthopedic injury were investigated,92 patients developed HAI,incidence of HAP was 3.57％.107 strains of pathogens were detected,the major were Klebsiella pneumoniae (n =22,20.56％),Escherichia coli (n =14,13.08％),and Acinetobacter baumannii (n =13,12.15％).Risk factors for HAP in patients with orthopedic injury were length of hospital stay≥15 days,smoking history≥3 years,bedridden ≥7 days,associated with underlying diseases,complications,indwelling catheter≥7 days,surgical operation,mechanical ventilation,admitted to intensive care unit,open injury,blood sugar≥11 mmol/L,plasma albumin＜30 g/ L,hemoglobin concentration＜90 g/L,and use of glucocorticoid≥4 days (all P＜0.05).Multivariate logistic regression analysis showed that smoking,bedridden,surgery,mechanical ventilation,glucocorticoid use,and anaemia were independent risk factors for HAP in patients with orthopedic injury.Conclusion The occurrence of HAP in patients with orthopedic injury is related with multiple factors,the major are surgical operation,mechanical ventilation,glucocorticoid use,long term smoking,bedridden,and anaemia.关键词
骨科/创伤/医院获得性肺炎/肺部/医院感染/危险因素/logistic回归分析Key words
orthopedics/injury/healthcare-associated pneumonia/lung/healthcare-associated infection/risk factor/logistic regression analysis分类
医药卫生引用本文复制引用
谢朝云,闫飞,熊永发,熊芸,李耀福..骨科创伤患者医院获得性肺炎的危险因素[J].中国感染控制杂志,2017,16(3):207-210,214,5.基金项目
贵州省科技厅联合项目(黔科合LH字[2014]7162号) （黔科合LH字[2014]7162号）
贵州省黔南州社会发展科技项目(黔南科合社字[2013]20号) （黔南科合社字[2013]20号）
