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

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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.	邝敏齐, 沈梅英, 卢换璋. 患者住院时间与医院感染发生的关系分析. 中国当代医药, 2013, 20(21):179-180.
4.	彭美玲, 周健, 江淑芳, 等. 某三级甲等综合医院医院感染现患率调查与危险因素分析. 中华医院感染学杂志, 2015, 25(17):3944-3946.
5.	钟彦, 徐世兰, 王妍潼, 等. 四川省23所医院医院感染管理现状调查. 中国循证医学杂志, 2014, 14(2):174-177.
6.	陈黎媛, 牟霞, 杨怀, 等. 2014 年贵州省某三甲医院医院感染横断面调查分析. 现代预防医学, 2015, 42(19):3602-3605.
7.	王永静, 李果果, 程文琴, 等. 某部队医院住院患者医院感染现患率调查. 中国消毒学杂志, 2015, 32(11):1112-1114.
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9.	王飞, 张秀月, 王大南, 等. 神经外科病房医院感染情况调查. 中国公共卫生, 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, 金凤玲, 等. 国内医院外科系统医院感染现状的循证分析. 中国循证医学杂志, 2012, 12(7):855-860.
12.	王頔. 医院感染发生的护理因素和干预措施. 中国卫生产业, 2015, 35(4):185-187.
13.	刘竹歌. 医院感染危险因素分析及护理措施探讨. 检验医学与临床, 2014, 11(4):530-532.
14.	何超, 刘钰琪, 李纪文, 等. 危重患者导管相关性尿路感染病原菌特征分析. 中国循证医学杂志, 2015, 15(6):621-624.
15.	吴燕, 刘茂菊, 郭金凤. Ⅰ、Ⅱ类切口手术部位医院感染监测分析. 中华医院感染学杂志, 2011, 21(7):1307-1309.
16.	陈杏梅, 金晓英, 方丽萍, 等. 腹部手术患者切口感染的临床护理研究. 中华医院感染学杂志, 2016, 26(3):703-705.
17.	邝敏齐, 沈梅英, 卢换璋. 患者住院时间与医院感染发生的关系分析. 中国当代医药, 2013, 20(21):179-180.
18.	林淑娴, 刘壮竹, 王蕴秀, 等. 多次医院感染218例相关因素分析. 广东医学, 2015, 36(12):1917-1920.
19.	邓钰, 刘艳, 王书会, 等. 重症监护病房老年患者医院感染危险因素分析. 中国公共卫生, 2012, 28(10):1340-1343.

1. 张建海. 145例消化内科老年患者医院感染的分析及对策. 中国微生态学杂志, 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. 邝敏齐, 沈梅英, 卢换璋. 患者住院时间与医院感染发生的关系分析. 中国当代医药, 2013, 20(21):179-180.
4. 彭美玲, 周健, 江淑芳, 等. 某三级甲等综合医院医院感染现患率调查与危险因素分析. 中华医院感染学杂志, 2015, 25(17):3944-3946.
5. 钟彦, 徐世兰, 王妍潼, 等. 四川省23所医院医院感染管理现状调查. 中国循证医学杂志, 2014, 14(2):174-177.
6. 陈黎媛, 牟霞, 杨怀, 等. 2014 年贵州省某三甲医院医院感染横断面调查分析. 现代预防医学, 2015, 42(19):3602-3605.
7. 王永静, 李果果, 程文琴, 等. 某部队医院住院患者医院感染现患率调查. 中国消毒学杂志, 2015, 32(11):1112-1114.
8. 罗文琼. 病房内造成医院感染的危险因素及原因与管理措施分析.医学信息, 2013, 26(4):38-39.
9. 王飞, 张秀月, 王大南, 等. 神经外科病房医院感染情况调查. 中国公共卫生, 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, 金凤玲, 等. 国内医院外科系统医院感染现状的循证分析. 中国循证医学杂志, 2012, 12(7):855-860.
12. 王頔. 医院感染发生的护理因素和干预措施. 中国卫生产业, 2015, 35(4):185-187.
13. 刘竹歌. 医院感染危险因素分析及护理措施探讨. 检验医学与临床, 2014, 11(4):530-532.
14. 何超, 刘钰琪, 李纪文, 等. 危重患者导管相关性尿路感染病原菌特征分析. 中国循证医学杂志, 2015, 15(6):621-624.
15. 吴燕, 刘茂菊, 郭金凤. Ⅰ、Ⅱ类切口手术部位医院感染监测分析. 中华医院感染学杂志, 2011, 21(7):1307-1309.
16. 陈杏梅, 金晓英, 方丽萍, 等. 腹部手术患者切口感染的临床护理研究. 中华医院感染学杂志, 2016, 26(3):703-705.
17. 邝敏齐, 沈梅英, 卢换璋. 患者住院时间与医院感染发生的关系分析. 中国当代医药, 2013, 20(21):179-180.
18. 林淑娴, 刘壮竹, 王蕴秀, 等. 多次医院感染218例相关因素分析. 广东医学, 2015, 36(12):1917-1920.
19. 邓钰, 刘艳, 王书会, 等. 重症监护病房老年患者医院感染危险因素分析. 中国公共卫生, 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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