腹部手术切口感染危险因素及病原菌调查

Risk factors for abdominal surgical wound infection and pathogenic bacteria investigation

目的探讨腹部手术切口感染的病原菌及危险因素,为预防与控制切口感染提供理论依据。方法回顾性调查医院腹部手术切口感染患者的临床病历,分析腹部手术切口感染的危险因素,并对感染病原菌进行分析。结果医院腹部手术切口感染率为5.1%;切口感染的危险因素为:原发基础疾病、手术种类、性别、年龄、肥胖、糖尿病、抗菌药物的使用等;感染病原菌主要有大肠埃希菌(25.0%)、铜绿假单胞菌(21.9%)、肺炎克雷伯菌(16.6%)、金黄色葡萄球菌(12.5%)、粪肠球菌(10.4%)等。结论必须采取综合性干预措施,预防与控制腹部手术切口感染。

OBJECTIVE To study pathogenic bacteria and risk factors in abdominal surgical wound infection to provide the evidence for prevention and controlling of surgical wound infection.METHODS The clinical data were investigated retrospectively for the patients with abdominal surgical wound infection in our hospital.The risk factors and pathogenic bacteria were analyzed.RESULTS The infection rate of abdominal surgical wound infection was 5.1%.The risk factors included underlying diseases,sorts of operation,gender,age,obesity,diabetes,use of antibiotics,and so on.The main pathogenic bacteria included Escherichia coli（25.0%）,Pseudomonas aeruginosa（21.9%）,Klebsiella pneumoniae（16.6%）,Enterococcius faecium（10.4%）,Staphylococcus aureus（12.5%）,Candida albicans and so on.CONCLUSION The comprehensive intervention should be taken to prevent and control abdominal surgical incision infection.