白内障患者围手术期感染影响因素分析

Influencing factors for infection in cataract patients during perioperative period

目的研究白内障患者围手术期感染影响因素,为临床预防提供参考依据。方法选取医院2014年12月-2018年3月收治的白内障患者32 500例,目标性监测围手术期感染患者,单因素及多因素Logistic回归分析白内障患者围手术期感染影响因素。结果 32 500例白内障患者,其中围手术期感染13例,感染率为0.04%。多因素Logistic回归分析结果,2型糖尿病史、睑缘或结膜囊感染、手术时间、切口位置、晶体后囊破裂、玻璃体溢出、抗菌药物使用时间、操作人员手卫生状况是白内障患者围手术期感染的影响因素。结论白内障围手术期感染影响因素复杂多样,对于易感染高危人群,采取个体化的控制方法,利于降低围手术期感染率,促进患者视力恢复。

OBJECTIVE To explore the influencing factors for infection in cataract patients during perioperative period so as to provide guidance for prevention of the infection.METHODS A total of 32500 patients with cataract who were treated in hospitals from Dec 2014 to Mar 2018 were enrolled in the study,the targeted surveillance was conducted for the patients with perioperative infection,and the univariate analysis and multivariate logistic regression analysis were performed for influencing factors for the perioperative infection.RESULTS Of the 32 500 patients with cataract,13 had perioperative infection,with the infection rate 0.004%.The result of multivariate logistic regression analysis indicated that the history of type 2 diabetes mellitus,eyelid margin or conjunctival sac infection,operation duration,incision position,posterior capsule rupture,vitreous overflow,time of use of antibiotics and hand hygiene of operators were the influencing factors for the perioperative infection in the cataract patients.CONCLUSION The influencing factors for the perioperative infection in the cataract patients are complicated.It is an effective way to take individualized control measures for the population at high risk of infection so as to reduce the incidence of perioperative infection and facilitate the recovery of vision.