[老年人的依赖程度影响感染风险]。

B Wiedenkeller, F Modert, I Karleskind
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引用次数: 0

摘要

目的:评价老年人自主性降低或丧失对医院感染风险的影响。方法:采用Karnosfsky量表(KPS)。这项研究涉及163名65岁及以上因医疗原因住院的患者。数据收集:KPS指数、体重指数、诺顿指数、入院时和住院期间膀胱引流系统、入院时和住院期间耐药菌(BMR)定植、入院时和住院期间抗生素使用、入院时和住院期间感染。结果:自主程度与压疮风险指数(Norton)、自主程度与膀胱引流系统使用、自主程度与BMR风险获得、自主程度与医院感染风险之间均有统计学意义。结论:依赖程度增加了医院感染的风险,丧失自主能力是感染的危险因素。在我们看来,在减少医院感染的政策中,在入院时和定期评估老年患者的自主程度是必不可少的。
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[The dependence level of the elderly person influences the risk of infection].

Objective: Assess the impact of the reduction or loss of autonomy of the elderly in the nosocomial infection risk.

Method: Using Karnosfsky scale (KPS). This study involved 163 patients aged 65 and over hospitalized for medical reasons.

Data collection: KPS index, body mass index, Index Norton, bladder's drainage system at the entrance and during hospitalization, colonization of resistant bacteria (BMR) at entry and during hospitalization, antibiotic use at entry and during hospitalization, infection at entry and during hospitalization.

Results: There is a statistically significant relationship between the degree of autonomy and the index of risk of pressure ulcers (Norton), between the degree of autonomy and the use of bladder's drainage system, between the degree of autonomy and risk acquisition of BMR, between the degree of autonomy and the nosocomial infection risk.

Conclusion: The level of dependence increases the risk of infection nosocomial: loss of autonomy is a risk factor for infection. The evaluation of the degree o autonomy of elderly patients at entry and at regular intervals is essential in ou view a policy of reducing nosocomial infections.

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