Analysis Of Nutritional Status And Risk Factors Of Nutritional Risk In Patients With Nosocomial Infection

Objective:This study used Nutrition Risk Screening(NRS2002)to prospectively screen the nutritional status of hospitalized patients in a third-grade hospital,assessed the nutritional status of nosocomial infection patients,and explored the nutritional risks of hospital-infected patients.Risk factors and nutritional support effects provide a scientific basis for medical personnel to intervene in the nutritional risk of hospital-infected patients.Methods:For a third-grade hospital,from January 20 to December 2018,a total of 713 hospital-infected patients who met the inclusion criteria were reported by the Zhongzhi Hospital Monitoring Platform V6.0,and a prospective cohort study was conducted.The NRS2002,disease severity assessment(DRAS)and self-infected hospital infection data questionnaires were completed within 48 hours after diagnosis of nosocomial infection.Follow up once a week to understand the patient's condition changes and nutritional support and record until the patient is discharged,and improve the collection of relevant information.Result:1.Finally,713 hospitalized patients with qualified conditions were included,including 416 males(58.34%)and 297 females(41.65%).There were 237(237/713)hospital infections with NRS2002?3,and nutritional risk occurred.The rate was 33%;<3 points had 476 cases(476/713)accounting for 67%.2.A total of 237 hospital-infected patients with NRS2002 score ? 3points,of which 50 patients underwent enteral nutrition support,the composition ratio was 21%,46 patients underwent parenteral nutrition support,the composition ratio was 19%,and 26 patients underwent intestinal Combined with parenteral nutrition support,the composition ratio was 11%,and 115 patients did not receive nutritional support,with a composition ratio of 49%.3.There was no significant difference in the number of hospitalized patients with nosocomial infections and no hospitalized patients with nonutritional support(P=0.798),However,there was a statistically significant difference(P<0.05)between the total hospitalization cost,the number of patients with death,and the number of deaths in hospital-infected patients with nutritional support.4.Univariate analysis showed that there were differences in age,number of antibiotics,days of antibiotic use,level of antibiotic use,type of underlying comorbidity,use of ventilator and severity of disease in hospitalized patients with nutritional risk and no risk of nosocomial infection a cademic significance(P<0.05).5.Binary logistic regression analysis showed that there was a statistically significant difference in the severity of the disease between hospitalized patients with noxious risk and those with no nutritional risk(P<0.05).Conclusion:1.The incidence of nutritional risk in hospital-infected patients is high.2.Nutritional support for hospital-infected patients with nutritional risks can improve patient outcomes.3.The severity of the disease is an independent risk factor for the nutritional risk of patients with nosocomial infection.