摘要
目的:分析腹部手术术后医院感染影响因素分析及防范对策。方法:回顾性分析2012年6月~2014年7月腹部手术术后医院感染患者的资料,对影响腹部手术术后医院感染因素进行分析,评价腹部手术术后感染的腹部手术室危险因素。结果:本组220例患者发生医院感染,感染率2.64%,其中呼吸道感染40.91%,泌尿道感染占20.45%,手术部位感染占16.36%,消化道感染占13.64%,生殖道感染占6.82%,其他1.82%,通过多因素非条件 logistic 回归分析发现,年龄、基础病、切口感染情况为腹部手术术后医院感染危险因素;Ⅰ类手术间、择期腹部手术、抗生素使用等因素为腹部手术术后医院感染保护性因素。结论:为降低腹部手术术后感染,应提高腹部手术室环境洁净度,提高手术人员手的无菌程度、操作熟练程度及腹部手术质量,应用抗生素。
Objective:To analyze hospital infection after abdominal surgery infection factors and intervention strategy. Methods:A retrospective since June 2012 to July 2014 the data of patients in our hospital operating room abdominal surgery. Results:In 8345 cases observed in our patients,a total of 220 cases of patients with nosocomial infection in patients with infection,the infection rate 2. 64% ,of which 90 cases of respiratory tract infection,accounting for 40. 91% ;urinary tract infection for 20. 45% ,postoperative infection accounting for 16. 36% ;gastrointestinal infection accounting for 13. 64% ,genital tract infection accounting for 6. 82% . By multivariate unconditional logistic regression analysis,we found that age,underlying disease,wound infection for abdomi-nal surgery hospital infection factors. Among surgery,abdominal surgery type,antibiotics and other factors for abdominal surgery hospital infection negative factor. Conclusion:To reduce abdominal infection after surgery,operating room environment should improve the cleanliness of the abdomen to improve the de-gree of hand sterile abdominal surgery personnel proficiency,quality of abdominal surgery,antibiotics.
出处
《护理实践与研究》
2015年第4期105-107,共3页
Nursing Practice and Research
关键词
腹部手术
术后感染
危险因素
干预对策
Abdominal surgery
Postoperative infection
Risk factors
Intervention strategies