83例骨折手术住院患者医院感染临床特征分析

Features of 83 cases of fracture with hospital infections

目的探讨骨折手术住院患者发生医院感染的临床特征,为临床防治提供依据。方法回顾性分析83例医院感染患者的资料,并与同期骨折手术未发生感染的患者进行比较。结果感染部位主要为呼吸道占68.7%、手术切口占18.1%;病原菌分布主要包括铜绿假单胞菌占37.3%、金黄色葡萄球菌占19.3%;感染与住院时间、开放性骨折、急诊手术和糖尿病有关,差异有统计学意义(P<0.05)。结论骨折住院患者手术后易发生呼吸道和手术切口感染,并与多种因素相关,应采取积极有效的措施,降低患者医院感染率。

OBJECTIVE To explore the clinical features of nosocomial infections in patients with fracture so as to provide evidence for clinical prevention and treatment.METHODS Retrospective analysis was performed in 83 facture patients with hospital infections compared with fracture operation patients without infection at the same period.RESULTS The main infection sites were the respiratory tract（68.7%） and operation incision（18.1%）.The main pathogens were Pseudomonas aeruginosa（37.3%） and Staphylococcus aureus（19.3%）.Infections were associated with hospitalization time,open fracture,emergency operation and diabetes（P0.05）.CONCLUSION Respiratory and operation incision infection are likely to happen in fracture patients after operation and are related to many factors.Active and effective measures should be taken to reduce the nosocomial infection rate in patients.