腹部手术术后医院感染影响因素分析及防范对策

Abdominal surgery,postoperative hospital infection Factors and nursing countermeasures

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.