Risk factors for healthcare-associated infection in senile dementia patients
10.3969/j.issn.1671-9638.2014.09.006
- VernacularTitle:老年痴呆患者医院感染危险因素
- Author:
Huirong ZHAO
;
Xiuyan WANG
;
Xiufen ZHENG
;
Chunhong LIU
;
Jing GUO
- Publication Type:Journal Article
- Keywords:
senile dementia;
healthcare-associated infection;
pathogen;
risk factor;
nursing
- From:
Chinese Journal of Infection Control
2014;(9):538-540
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the risk factors for healthcare-associated infection(HAI)in senile dementia pa-tients,so as to adopt effective nursing measures to reduce the incidence of HAI.Methods Clinical data of 82 senile dementia patients aged≥60 years and hospitalized between January 2011 and June 2013 were analyzed retrospective-ly.Results Of 82 patients,28 (34.15%)developed HAI.The main infection site was lower respiratory tract(n=15,53.57%),followed by urinary tract(n=6,21 .43%).Univariate analysis revealed that risk factors for HAI in senile dementia patients were bedridden,long length of hospital stay ,dysphagia,indwelling urinary catheter,irra-tional use of antimicrobial agents,combined with tumor,and hypoproteinemia (all P <0.05 ).The main isolated bacteria were gram-negative bacilli(n=40,62.50%),the top three pathogens were Klebsiella pneumoniae (n=12, 18.75%),Escherichia coli (n =10,15.63%),and Pseudomonas aeruginosa (n =8,12.50%).Conclusion Reali-zing the risk factors and common pathogens of HAI in senile dementia patients is helpful for taking effective meas-ures to prevent and control the incidence of HAI .