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泌尿外科手术切口感染病原菌种类及感染相关因素调查

Investigation of pathogens and infection related factors of surgical incision infection in department of urology
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摘要 目的探讨泌尿外科手术患者切口感染的病原菌种类和感染相关危险因素。方法回顾性收集该院泌尿外科2016年1月至2018年5月收治的400例手术患者的临床资料,根据术后是否发生切口感染分成感染组(n=65)和未感染组(n=335),整理感染组患者的病原菌种类,并对比两组的临床资料,调查感染的相关危险因素。结果共培养76株病原菌,其中甲氧西林敏感金黄色葡萄球菌占25.0%,耐甲氧西林敏感金黄色葡萄球菌占18.42%,大肠埃希菌占14.47%,铜绿假单胞菌和肺炎克雷伯菌均占11.84%,其余阴沟肠杆菌、肠球菌属、不动杆菌、变形杆菌占比较低。经危险因素分析:合并糖尿/心功能不全、手术时间长、住院时间长、抗菌药物使用种类多、留置导尿管均是影响术后切口感染发生的因素(P<0.05);多因素分析:住院时间长、手术时间长、术后留置导尿管是术后切口感染的独立危险因素(P<0.05)。结论泌尿外科手术患者术后切口感染的病原菌以甲氧西林敏感金黄色葡萄球菌、耐甲氧西林敏感金黄色葡萄球菌、大肠埃希菌、肺炎克雷伯菌、铜绿假单胞菌为主,切口感染发生的危险因素众多,医护人员应加强对高危人群的筛查,加强对高危人群的监控管理和护理管理,预防术后切口感染发生。 【Objective】To analyze pathogenic bacteria and related risk factors of incision infection in urological surgery patients.【Methods】The clinical data of 400 surgical patients admitted to the urology department of our hospital from January 2016 to May 2018 were retrospectively collected.According to whether incision infection occurred after surgery,they were divided into infection group(n=65)and non-infection group(n=335).The pathogenic bacteria in the infection group were sorted out,and the clinical data of the two groups were compared to investigate the related risk factors of infection.【Results】A total of 76 pathogenic bacteria were cultured,of which 25.0%were methicillin-sensitive staphylococcus aureus,18.42%were methicillinresistant staphylococcus aureus,14.47%were Escherichia coli,11.84%were Pseudomonas aeruginosa and Klebsiella pneumoniae,and the rest were Enterobacter cloacae,enterococcus,Acinetobacter and Proteus.Analysis of risk factors:age,diabetes/cardiac insufficiency,long operation time,long hospitalization time,many kinds of antibiotics and indwelling catheter were all factors that affect the occurrence of incision infection after operation(P<0.05).Multivariate analysis:long hospital stay,long operation time and indwelling catheter after operation were independent risk factors for incision infection after operation(P<0.05).【Conclusion】The pathogens causing incision infection in patients undergoing urological surgery are mainly methicillin-sensitive staphylococcus aureus,methicillin-resistant staphylococcus aureus,Escherichia coli,Klebsiella pneumoniae,and Pseudomonas aeruginosa.There are many risk factors for incision infection.Medical personnel should strengthen the screening of high-risk groups,strengthen the monitoring and nursing management of high-risk groups,and prevent the occurrence of incision infection after surgery.
作者 庞玲娣 刘翠华 PANG Lingdi;LIU Cuihua(Department of Urology,Children's Hospital Affiliated to Zhengzhou University(Henan Children's Hospital,Zhengzhou Children's Hospital),Zhengzhou,Henan 450000,China)
出处 《中国医学工程》 2019年第7期8-10,共3页 China Medical Engineering
基金 2014年度河南省医学科技攻关计划项目(201403253)。
关键词 泌尿外科 切口感染 病原菌种类 危险因素 urology department incision infection species of pathogenic bacteria risk factor
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  • 1金保富.医院感染病原菌谱的变迁及耐药性分析[J].中国热带医学,2004,4(5):842-843. 被引量:4
  • 2李红,黄小民,韩燕茹.116例住院患者Ⅰ类手术切口感染调查与分析[J].中华医院感染学杂志,2005,15(11):1241-1243. 被引量:58
  • 3廖泽飞,陈一杰,吴淼,张诚华,姚清勇,张少波,董少良,林荣凯.腹部手术后切口感染的原因分析[J].临床军医杂志,2007,35(2):219-221. 被引量:30
  • 4郑素君.泌尿外科手术切口感染病原学特点及预防[J].现代预防医学,2007,34(19):3799-3800. 被引量:6
  • 5阎玉矿,刘辉,李德宁,等.泌尿外科感染的临床分析[J].中华医院感染学杂志,2008,18(6):870-872.
  • 6Zhang Guomin,Ye Weifeng,Shao Xiaobin. Department of U- rology of hospital infection characteristic analysis[J]. Chinese Journal of hospital pharmacy, 2009,15(22) : 675-676.
  • 7Huang JinPing. 2007 Department of urology hospital infec- tion sites and testing positive rate of clinical analysis[J]. Chi- nese Journal of hospital pharmacy, 2010,16 (5) :823-824.
  • 8任南,徐秀华,吴安华,等.医院感染横断面研究报告[J].中华医院感染杂志,2008,19(8):17.
  • 9魏燕红,张利军.泌尿外科切口感染相关因素分析[J].中外健康文摘,2011,8(4):444-445.
  • 10Ng D, Trivedi PM, Sharma AK, et al. Current use of antibiotic prophylaxis in breast surgery: a nationwide survey [ J ]. Breast, 2008, 16(1) : 68 -72.

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