37例腮腺切除术患者医院感染相关因素分析

Related factors for nosocomial infections in 37 patients after parotidectomy

目的探讨腮腺切除术患者发生医院感染情况,以采取有效的预防控制措施。方法回顾性分析2005-2011年腮腺切除术患者发生医院感染临床相关资料。结果 482例腮腺切除术患者共发生医院感染37例,感染率7.68%;感染部位以呼吸道居首位,占47.83%;其次为手术创口,占21.74%;主要病原菌为克雷伯菌属,占9.3%;医院感染与年龄、住院时间、基础疾病、手术操作时间有密切的关系,差异有统计学意义(P<0.05)。结论腮腺切除术患者医院感染的发生是多种因素所致,应严格无菌操作技术、缩短住院日和手术操作时间、提高机体的抵抗力可降低医院感染的发生。

OBJECTIVE To discuss the nosocomial infections in the patients after the parotidectomy, to take effective prevention and control measures. METHODS Retrospective analysis of the data of the nosocomial infection of patients after the parotidectomy during 2005 - 2011 was performed. RESULTS Totally 37 cases of patients in 482 cases caught the nosocomial infections （7. 68%）. Respiratory tract infections accounted for 47.83%,followed by the surgical wound infections （21.74%）; Klebsiella pneumoniae was the main species of the pathogens, accounted for 9.3 % ; the age,length of hospital stay, underlying diseases, and operation duration were closely related to the nosocomial infections, the difference was with statistical significance. CONCLUSION The nosocomial infections in the patients undergoing parotidectomy are caused by multiple factors, it is necessary to tighten the aseptic operation, shorten the hospital stay and the operation duration, as well as enhance the body immunity so as to reduce the incidence of nosocomial infections.