妇产科患者手术感染的原因分析

Causes of surgical infections in patients of department of gynecology and obstetrics

目的探讨妇产科患者手术感染的原因,针对引起感染的原因研究相应防护措施,以有效降低妇产科患者手术感染率。方法收集医院2010年5月-2012年8月实施妇产科手术治疗的420例患者临床资料,对围手术期有可能出现感染的原因进行详细记录,并对其结果进行回顾性分析。结果 420例手术患者术后感染117例,感染率27.86%;感染部位以切口感染为首,占8.33%,其次依次为呼吸道、胃肠道、泌尿道及口腔,分别占7.14%、5.00%、4.76%及2.62%;检出感染病原菌包括表皮葡萄球菌、链球菌属、大肠埃希菌。结论对妇产科手术患者感染原因进行分析,采取积极相应的防护措施,可降低手术感染率,有效提高手术质量与成功率。

OBJECTIVE To explore the causes of surgical infections in patients of department of gynecology and obstetrics and put forward corresponding prevention measures so as to effectively reduce the incidence of surgical infections. METHODS The clinical data were collected from 420 patients who underwent surgery in the department of gynecology and obstetrics from May 2010 to Aug 2012, then the risk factors for the perioperative infections were recorded in detail, and the result was retrospectively analyzed. RESULTS Of the 420 patients investigated, the postoperative infections occurred in 117 cases with the infection rate of 27.86% ; 8. 33% of the cases were with incision infections, ranking the first place, 7.14% the respiratory tract infections, 5.00% gastrointestinal tract infections, 4. 76% the urinary tract infections, 2. 62% the oral infections. The species of isolated pathogens included the Staphylococcus epiderrnidis, Streptococcus, and Escherichia coli. CONCLUSION It is an effective way to analyze the causes of infections and actively take corresponding prevention measures so as to reduce the incidence of surgical infections and improve the surgical quality and success rate.