重症手术患儿插管全麻致术后感染调查分析

An analysis of post operative nosocomial infection of severely ill children

目的 探讨重症手术患儿在气管插管全麻术后的感染危险因素及病原菌来源 ,以提供预防性使用抗生素的依据。方法 对我院 1998年 1月～ 1999年 6月收集的 2 0 2例行插管全麻的重症手术患儿的病历资料 ,在回顾性分析基础上 ,进行病原学质粒谱分析。结果 感染部位主要为肺和切口 ,气管插管是导致感染的危险因素之一 ;病原菌来源系医源或患儿家属污染。结论 无菌操作及消毒隔离制度、合理预防性使用抗生素、加强家属的卫生教育 。

Objective To investigate the risk factors and sources of surgical infection of severely ill children,and discuss the use of prophylactic antibiotics.Methods Based on retrospective and prospective analysis of 202 cases of the severely ill and operated children with intubation anaesthesia,the analysis of pathogenic bacteria mass spectrums was made.Results The sites of incisions and the lungs were the main targets of infection.Intubation was one of the risk factors of infection.The pathogenic bacteria were transmitted from the medical personnel and the family members of the patients.Conclusion Aseptic manipulation,isolation of the patients,prophylactic antibiotics and health knowledges for the family members are very important for reducing post operative nosocomial infections of severely ill children.