赣南医科大学学报2024，Vol.44Issue(12)：1264-1267,4.DOI:10.3969/j.issn.1001-5779.2024.12.013
重症监护室行体外膜肺氧合辅助治疗患者医院感染危险因素分析
Analysis of risk factors for nosocomial infection in patients undergoing auxiliary extracorporeal membrane oxygenation therapy in the intensive care unit
摘要
Abstract
Objective:To investigate the situation of nosocomial infections in patients undergoing extracorporeal mem-brane oxygenation(ECMO)auxiliary treatment in the intensive care unit and analyze related risk factors.Methods:The medical records of 84 patients admitted to the intensive care unit of The First Affiliated Hospital of Gannan Medical University for ECMO auxiliary treatment from January 2019 to December 2023 were collected.Altogether 42 patients who had nosocomial infection were include in the infection group,and another 42 patients who did not have nosocomial infection were included in non-infection group.A single-factor analysis and multi-factor logistic were used to analyze the risk factors related to nosocomial infection in the patients.Results:A total of 50 cases of hospital-acquired infections occurred in the infection group,including 32 cases of pulmonary infection,7 cases of incision infection,5 cases of urinary tract infection,4 cases of bloodstream infection,and 2 cases of skin and soft tissue infection.The main pathogenic bacteria were Acinetobacter baumannii,Burkholderia cepacia,and Klebsiella pneumoniae.The infection group had a higher rate of surgical treatment,longer duration of invasive ventilation,and longer ECMO use duration than the non-infection group,with statistically significant differences(P＜0.05).Multivariate Logistic regression analysis revealed that surgical treatment and duration of invasive ventilation were independent risk factors for hospital-acquired infections in ECMO-assisted treatment patients(P＜0.05).Conclusion:Surgical treatment and duration of invasive ventilation are independent risk factors for the incidence of hospital-acquired infections in ECMO-assisted treatment patients.Strict perioperative hospital infection control and reduction of invasive ventilation duration will effectively reduce the incidence of hospital-acquired infections in ECMO-assisted treatment patients.关键词
体外膜肺氧合/感染/精准感控/危险因素/疾病负担Key words
Extracorporeal membrane oxygenation/Infection/Precise infectioncontrol/Risk factors/Disease burden分类
医药卫生引用本文复制引用
钟美兴,肖金梅,侯良,刘子由,王凤珍,陈舒梅,陈辉..重症监护室行体外膜肺氧合辅助治疗患者医院感染危险因素分析[J].赣南医科大学学报,2024,44(12):1264-1267,4.基金项目
江西省卫生健康委员会科技计划项目(202130671) （202130671）
