摘要
Abstract
Objective To investigate the pathogen′s distribution and risk factors of hospital-acquired pneu-monia(HAP)in rehabilitation department.Methods The clinical data of 1 648 patients in rehabilitation de-partment during April 2012 to June 2016 were retrospective collected to analyze the pathogenic characteristics and relative risk factors of HAP.Results Among the 1 648 patients,a total of 116 cases were diagnosed with HAP,of which the incidence rate was 7.04%.The pathogenic bacteria were mainly gram-negative bacteria,ac-counting for 64.80%,followed by gram-positive bacteria,accounting for 26.40%.Univariate analyses showed that,there were significant associations between HAP and age,hospital stays,respiratory disease,cerebrovas-cular disease,diabetes,conscious disturbance,nutritional status,extra-pulmonary infection,smoking,usage of prophylactic antibiotics,invasive operation.M ultivariate analysis suggested that older than 60,respiratory dis-ease,cerebrovascular disease,diabetes,nutritional status,smoking,usage of prophylactic antibiotics,and inva-sive operation were the independent risk factors of HAP in the rehabilitation ward(P<0.05).Conclusion The incidence of HAP in rehabilitation department was relatively high with a wide pathogen′s distribution, and was associated with many factors.Some pertinent measures should be conducted to intervene in these risk factors and reduce the incidence of HAP.关键词
医院获得性肺炎/康复病房/病原菌/危险因素Key words
hospital-acquired pneumonia/rehabilitation department/pathogen′s distribution/risk factor分类
医药卫生
