Risk Factors of Hospital-acquired Infection among Uremia Patients and Nursing Strategy / 中华医院感染学杂志

ABSTRACT

OBJECTIVE To observe the clinical characteristics and risk factors of the hospital-acquired infection among uremia patients.METHODS The clinical data of 187 cases of uremia were retrospectivety analyzed during from Apr 2003 to Dec 2006.RESULTS There were 61 cases with hospital-acquired infection.The infection rate was 32.6%.The repiratory(54.1%) and urinary(21.3%) systems were the main infection sites.The main pathogens were Escherichia coli,Klebsiella pneumoniae,Staphylococcus epidermidis,S.aureus and fungi.The related factors were renal function,serum albumin,hemoglobin,duration in hospital,age and invasive medical procedures.CONCLUSIONS The hospital-acquired infection with uremia is with higher rate in respiratory system.The risk factors are renal failure,decrease in serum albumin and hemoglobin,abuse use of antibiotics and invasive medical procedures and deserve corresponding nursing strategy.