Risk Factors for Multiple Nosocomial Infection in Adults: A Case-control Study_Chinese Journal of Evidence-Based Medicine

Authors：

 LINLi-ling , WUYi-hai , ZHANGHua-ping , ZENGXiu-yu , QIUXiu-lan , WENGYue-ping , CHENXia-rong

Nosocomial Infection Management, The Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China;

Corresponding?author：

Keywords：

Multiple nosocomial infection; Risk factor; Hospital stay; Case-control study

DOI：

10.7507/1672-2531.20160118

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Objective To explore the risk factors for multiple nosocomial infection in adult hospitalized patients, so as to provide references for the control of nosocomial infection. Methods The clinical data of adults hospitalized patients with nosocomial infection in the Second Affiliated Hospital of Fujian Medical University during Jan. 2015 to Dec. 2015 were collected, and the susceptible factors of multiple nosocomial infections referencing to the single nosocomial infection were analyzed. Results 1226 cases (1368 case-times) of nosocomial infection were found and the infection rate and the case-time infection rate were 2.24% and 2.49%, respectively. Single factor analysis results showed that the top four risk factors of multiple nosocomial infection included hospital stay ≥30 days (25.5%), first infection time ≥30 days (23.2%), incision type Ⅲ (16.7%), and surgery (13.4%). Logistic regression analysis result showed, after adjusting the influence of age and gender, longer hospital stay was the independent risk factor of multiple nosocomial infection referencing to single nosocomial infection (OR=3.475, 95%CI 2.545 to 4.745). Conclusion Longer hospital stay is the independent risk factor of multiple nosocomial infection of adult hospitalized patients. Measures should be taken to shorten the length of stay in hospital and reduce the exposure to the high-risk environment, so as to reduce the incidence of multiple nosocomial infection.

Citation： LINLi-ling, WUYi-hai, ZHANGHua-ping, ZENGXiu-yu, QIUXiu-lan, WENGYue-ping, CHENXia-rong. Risk Factors for Multiple Nosocomial Infection in Adults: A Case-control Study. Chinese Journal of Evidence-Based Medicine, 2016, 16(7): 760-763. doi: 10.7507/1672-2531.20160118 Copy

1.	張建海. 145例消化內科老年患者醫院感染的分析及對策. 中國微生態學雜志, 2016, 28(2):201-204.
2.	Su D, Hu B, Rosenthal VD, et al. Impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach in five intensive care units in three cities of China. Public Health, 2015, 129(7):979-988.
3.	鄺敏齊, 沈梅英, 盧換璋. 患者住院時間與醫院感染發生的關系分析. 中國當代醫藥, 2013, 20(21):179-180.
4.	彭美玲, 周健, 江淑芳, 等. 某三級甲等綜合醫院醫院感染現患率調查與危險因素分析. 中華醫院感染學雜志, 2015, 25(17):3944-3946.
5.	鐘彥, 徐世蘭, 王妍潼, 等. 四川省23所醫院醫院感染管理現狀調查. 中國循證醫學雜志, 2014, 14(2):174-177.
6.	陳黎媛, 牟霞, 楊懷, 等. 2014 年貴州省某三甲醫院醫院感染橫斷面調查分析. 現代預防醫學, 2015, 42(19):3602-3605.
7.	王永靜, 李果果, 程文琴, 等. 某部隊醫院住院患者醫院感染現患率調查. 中國消毒學雜志, 2015, 32(11):1112-1114.
8.	羅文瓊. 病房內造成醫院感染的危險因素及原因與管理措施分析.醫學信息, 2013, 26(4):38-39.
9.	王飛, 張秀月, 王大南, 等. 神經外科病房醫院感染情況調查. 中國公共衛生, 2012, 28(11):1483-1485.
10.	Leblebicioglu H, Erben N, Rosenthal VD, et al. Surgical Site Infections Rates in 16 cities of Turkey:Findings of the International Nosocomial Infection Control Consortium (INICC). Am J of Inf Con, 2014, 43(1):48-52.
11.	王燕炯, 王蕊, 金鳳玲, 等. 國內醫院外科系統醫院感染現狀的循證分析. 中國循證醫學雜志, 2012, 12(7):855-860.
12.	王頔. 醫院感染發生的護理因素和干預措施. 中國衛生產業, 2015, 35(4):185-187.
13.	劉竹歌. 醫院感染危險因素分析及護理措施探討. 檢驗醫學與臨床, 2014, 11(4):530-532.
14.	何超, 劉鈺琪, 李紀文, 等. 危重患者導管相關性尿路感染病原菌特征分析. 中國循證醫學雜志, 2015, 15(6):621-624.
15.	吳燕, 劉茂菊, 郭金鳳. Ⅰ、Ⅱ類切口手術部位醫院感染監測分析. 中華醫院感染學雜志, 2011, 21(7):1307-1309.
16.	陳杏梅, 金曉英, 方麗萍, 等. 腹部手術患者切口感染的臨床護理研究. 中華醫院感染學雜志, 2016, 26(3):703-705.
17.	鄺敏齊, 沈梅英, 盧換璋. 患者住院時間與醫院感染發生的關系分析. 中國當代醫藥, 2013, 20(21):179-180.
18.	林淑嫻, 劉壯竹, 王蘊秀, 等. 多次醫院感染218例相關因素分析. 廣東醫學, 2015, 36(12):1917-1920.
19.	鄧鈺, 劉艷, 王書會, 等. 重癥監護病房老年患者醫院感染危險因素分析. 中國公共衛生, 2012, 28(10):1340-1343.

1. 張建海. 145例消化內科老年患者醫院感染的分析及對策. 中國微生態學雜志, 2016, 28(2):201-204.
2. Su D, Hu B, Rosenthal VD, et al. Impact of the International Nosocomial Infection Control Consortium (INICC) Multidimensional Hand Hygiene Approach in five intensive care units in three cities of China. Public Health, 2015, 129(7):979-988.
3. 鄺敏齊, 沈梅英, 盧換璋. 患者住院時間與醫院感染發生的關系分析. 中國當代醫藥, 2013, 20(21):179-180.
4. 彭美玲, 周健, 江淑芳, 等. 某三級甲等綜合醫院醫院感染現患率調查與危險因素分析. 中華醫院感染學雜志, 2015, 25(17):3944-3946.
5. 鐘彥, 徐世蘭, 王妍潼, 等. 四川省23所醫院醫院感染管理現狀調查. 中國循證醫學雜志, 2014, 14(2):174-177.
6. 陳黎媛, 牟霞, 楊懷, 等. 2014 年貴州省某三甲醫院醫院感染橫斷面調查分析. 現代預防醫學, 2015, 42(19):3602-3605.
7. 王永靜, 李果果, 程文琴, 等. 某部隊醫院住院患者醫院感染現患率調查. 中國消毒學雜志, 2015, 32(11):1112-1114.
8. 羅文瓊. 病房內造成醫院感染的危險因素及原因與管理措施分析.醫學信息, 2013, 26(4):38-39.
9. 王飛, 張秀月, 王大南, 等. 神經外科病房醫院感染情況調查. 中國公共衛生, 2012, 28(11):1483-1485.
10. Leblebicioglu H, Erben N, Rosenthal VD, et al. Surgical Site Infections Rates in 16 cities of Turkey:Findings of the International Nosocomial Infection Control Consortium (INICC). Am J of Inf Con, 2014, 43(1):48-52.
11. 王燕炯, 王蕊, 金鳳玲, 等. 國內醫院外科系統醫院感染現狀的循證分析. 中國循證醫學雜志, 2012, 12(7):855-860.
12. 王頔. 醫院感染發生的護理因素和干預措施. 中國衛生產業, 2015, 35(4):185-187.
13. 劉竹歌. 醫院感染危險因素分析及護理措施探討. 檢驗醫學與臨床, 2014, 11(4):530-532.
14. 何超, 劉鈺琪, 李紀文, 等. 危重患者導管相關性尿路感染病原菌特征分析. 中國循證醫學雜志, 2015, 15(6):621-624.
15. 吳燕, 劉茂菊, 郭金鳳. Ⅰ、Ⅱ類切口手術部位醫院感染監測分析. 中華醫院感染學雜志, 2011, 21(7):1307-1309.
16. 陳杏梅, 金曉英, 方麗萍, 等. 腹部手術患者切口感染的臨床護理研究. 中華醫院感染學雜志, 2016, 26(3):703-705.
17. 鄺敏齊, 沈梅英, 盧換璋. 患者住院時間與醫院感染發生的關系分析. 中國當代醫藥, 2013, 20(21):179-180.
18. 林淑嫻, 劉壯竹, 王蘊秀, 等. 多次醫院感染218例相關因素分析. 廣東醫學, 2015, 36(12):1917-1920.
19. 鄧鈺, 劉艷, 王書會, 等. 重癥監護病房老年患者醫院感染危險因素分析. 中國公共衛生, 2012, 28(10):1340-1343.

Chinese Journal of Evidence-Based Medicine

Risk Factors for Multiple Nosocomial Infection in Adults: A Case-control Study

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