【摘要】：目的探討先天性耳前瘺管術(shù)后醫(yī)院感染的影響因素,為預(yù)防與控制醫(yī)院感染提供臨床依據(jù)。方法選擇2012年3月-2013年3月醫(yī)院收治的126例先天性耳前瘺管患者作為研究對象設(shè)為觀察組,統(tǒng)計該類患者術(shù)后醫(yī)院感染的發(fā)生情況,另選同期耳科手術(shù)患者125例作為對照組;對性別、年齡、感染部位、病原菌種類、手術(shù)時間、住院時間、抗菌藥物的使用等可能導(dǎo)致醫(yī)院感染的因素進行多因素logistic分析。結(jié)果 126例先天性耳前瘺管患者經(jīng)手術(shù)后感染率男性為5.06%,女性為4.26%,男性與女性感染率比較差異無統(tǒng)計學意義;感染部位中呼吸道、泌尿系統(tǒng)、消化道感染分別占33.3%、16.7%、33.3%;多因素logistic回歸分析結(jié)果顯示,手術(shù)時間≥30min(β=1.444,OR=3.452)、使用抗菌藥物(β=1.058,OR=3.074)、住院時間≥7d(β=1.116,OR=2.119)、感染部位(β=1.129,OR=1.751)是先天性耳前瘺管術(shù)后醫(yī)院感染的獨立危險因素。結(jié)論治療先天性耳前瘺管的同時,應(yīng)嚴格控制耳鼻喉外科術(shù)后感染的影響因素、執(zhí)行無菌操作、充分做好術(shù)前準備、縮短手術(shù)與住院時間、正確使用抗菌藥物,減少術(shù)后醫(yī)院感染的發(fā)生。
[Abstract]:Objective to investigate the influencing factors of nosocomial infection after congenital preauricular fistula and to provide clinical basis for prevention and control of nosocomial infection. Methods 126 patients with congenital preauricular fistula treated in our hospital from March 2012 to March 2013 were selected as the observation group. Multivariate logistic analysis was carried out on sex, age, site of infection, type of pathogens, time of operation, length of stay, use of antibiotics and other factors that may lead to nosocomial infection. Results the infection rate of 126 patients with congenital preauricular fistula after operation was 5.06 in male and 4.26 in female. There was no significant difference in infection rate between male and female. The results of multivariate logistic regression analysis showed that the operation time 鈮，

本文編號：2183163