發(fā)布時間：2018-04-16 08:17

  本文選題：普外科 + 術(shù)后感染　； 參考：《中華醫(yī)院感染學(xué)雜志》2017年02期

【摘要】：目的探討普外科術(shù)后感染的危險因素,并根據(jù)相關(guān)因素總結(jié)應(yīng)對策略,以降低感染率。方法選取2012年6月-2015年6月1 200例普外科手術(shù)患者做回顧性分析,并對術(shù)后感染率、具體感染部位分布、主要病原菌分布進行單因素和多元logistic回歸分析。結(jié)果在1 200例患者中,共出現(xiàn)感染71例,感染率為5.9%;感染部位處于前3位的分別是下呼吸道、泌尿系統(tǒng)以及上呼吸道。共檢出病原體96株,其中,革蘭陽性菌33株,占34.4%;革蘭陰性菌62株,占64.6%;真菌1株,占1.0%;統(tǒng)計分析結(jié)果顯示:年齡≥60歲、BMI≥24kg/m2、合并基礎(chǔ)疾病、急診手術(shù)、切口長度≥10cm,手術(shù)時間≥3h,有侵入性操作以及住院≥10d均能夠顯著影響術(shù)后感染的發(fā)生率(P0.05);其中,年齡≥60歲、BMI≥24kg/m2、切口長度≥10cm以及住院時間≥10d是普外科術(shù)后感染的獨立危險因素。結(jié)論普外科術(shù)后切口感染的因素是多方面的,應(yīng)從患者自身因素、手術(shù)因素、醫(yī)護人員因素以及醫(yī)院管理因素等方面綜合考慮,加強對手術(shù)患者的管理,降低感染率。
[Abstract]:Objective to explore the risk factors of postoperative infection in general surgery, and summarize the coping strategies according to the related factors to reduce the infection rate.Methods from June 2012 to June 2015, 1 200 patients undergoing general surgery were retrospectively analyzed. Single factor and multivariate logistic regression analysis was used to analyze the infection rate, the distribution of specific infection sites and the distribution of main pathogens.Results among 1 200 patients, 71 cases were infected, the infection rate was 5.9%, and the first three sites of infection were lower respiratory tract, urinary system and upper respiratory tract.A total of 96 strains of pathogens were detected, of which 33 were Gram-positive bacteria (34.4cm), 62 Gram-negative bacteria (64.6%) and 1 fungus (1.0kg / m2). Statistical analysis showed that BMI 鈮，

本文編號：1758061