国际医药卫生导报2019，Vol.25Issue(2)：254-258,5.DOI:10.3760/cma.j.issn.1007-1245.2019.02.026
医院获得性肺炎克雷伯菌血流感染特点及预后危险因素分析
Klebsiella pneumoniae bloodstream infection: clinical characteristics and risk factors of prognosis
摘要
Abstract
Objective To investigate the clinical characteristics of hospital acquired Klebsiella pneumoniae bloodstream infection and analyze the risk factors affecting the prognosis of patients with Klebsiella pneumoniae bloodstream infection.Methods Retrospective analysis was performed on the clinical characteristics and prognosis of 350 patients with Klebsiella pneumoniae bloodstream infection admitted by each department of our hospital from February 2015 to February 2018,and Logistic regression analysis was performed to analyze the risk factors affecting the prognosis of patients with Klebsiella pneumoniae bloodstream infection.Results Secondary bloodstream infection (51.43％) was found in Klebsiella pneumoniae bloodstream infection in our hospital.The infection rate of carbapenem-resistant Klebsiella pneumoniae (CRKP) was 42.00％ and the mortality rate was 17.43％.Logistic regression analysis showed that diabetes mellitus (OR=2.625,P=0.015),CRKP infection (OR=5.089,P=-0.020),and central venous catheterization (OR=3.766,P=0.029) were risk factors for the prognosis of patients with hospital acquired Klebsiella pneumoniae bloodstream infection.Conclusion Patients with Klebsiella pneumoniae bloodstream infection in our hospital have a higher mortality rate,and diabetes,CRKP infection,and central venous catheterization are risk factors for poor prognosis.关键词
肺炎克雷伯菌/血流感染/耐碳青霉烯类肺炎克雷伯菌/预后Key words
Klebsiella pneumoniae/Bloodstream infection/Carbapenem-resistant Klebsiella pneumoniae/Prognosis引用本文复制引用
董进浪,谭炜炜..医院获得性肺炎克雷伯菌血流感染特点及预后危险因素分析[J].国际医药卫生导报,2019,25(2):254-258,5.
