Objective To investigate the related factors of nosocomial infection in elderly patients with chronic renal failure undergoing maintenance hemodialysis. Methods A total of 90 elderly patients with chronic renal failure undergoing maintenance hemodialysis in our hospital from May 2017 to October 2018 were selected as the subjects of study. The face-to-face interview method was used to grasp the basic situation of the examinee, the nosocomial infection rate of 90 elderly patients with chronic renal failure undergoing maintenance hemodialysis were evaluated, and the related factors of infection were analyzed. Results The hospital infection rate of 90 elderly patients with chronic renal failure maintenance hemodialysis was 40.00%, including 15 respiratory infections, 10 urinary tract infections, 3 central venous catheter infections, and 6 intestinal infections, and there were 2 cases of infection in other parts. There was no significant difference in gender between 90 patients (P>0.05). There were significant differences in age, anemia, hypoproteinemia, diabetic nephropathy, cardiac insufficiency, central venous intubation, and dialysis time (P<0.05). Logistic regression analysis showed that hypoproteinemia, age, anemia, dialysis time, cardiac insufficiency, diabetic nephropathy, and central venous intubation were independent risk factors for nosocomial infection (P<0.05). Conclusion In clinic, unnecessary invasive medical treatment should be reduced as far as possible, and the aim of avoiding iatrogenic infection can be achieved by strengthening patients′ nutritional support and infection control in departments.
China Modern Medicine
Chronic renal failure maintenance hemodialysis