摘要
目的了解医院肝胆外科医院感染发病特点及相关危险因素,探讨有效的预防控制措施。方法对肝胆外科2008年1月-2009年3月住院患者,采取前瞻性和回顾性的方法进行调查。结果肝胆外科医院感染的部位以深部切口和下呼吸道感染为主,占全部感染的78.20%,病原菌种类细菌占85.90%、真菌占14.10%,所有菌种均为人体肠道的正常菌种;重症胆管炎和胰腺炎患者的感染率最高,为42.19%和40.00%,肝胆外科发生多重感染的比例较高达38.78%。结论合理使用抗菌药物、术中严格无菌操作、缩短手术时间、术后保证引流通畅、预防和及时处理胆瘘及腹腔内出血等并发症,是降低肝胆外科患者感染的重要预防措施。
OBJECTIVE To investigate status of nosocomial infection in hepatobiliary Surgery and the related risk factors, to explore effective measures for prevention and control. METHODS The inpatient eases of hepatobiliary surgery from Jan 2008.to Mar 2009 were prospectively and retrospectively surveyed. RESULTS Of the nosocomial infections, surgical site infection and the lower respiratory tract infection were very prominent （78.2%）. Of the isolated strains the rate of bacterial pathogens was 85.90% and the rate of fungi was 14. 10%, all strains were human normal intestinal bacterial species. The highest rate of infection was from patients with severe cholangitis and pancreatitis （42. 19% and 40. 0%）. The hepatobiliary surgery had higher multiple infection proportion （38. 78%）. CONCLUSIONS Rational application of antibiotic, intraoperative aseptic manipulation, short time operation, unobstructed drainage, prevention and timely treatment of Biliary fistula and intraperitoneal hemorrhage, are the effective measures for the patients with hepatobiliary surgery.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2009年第22期3046-3048,共3页
Chinese Journal of Nosocomiology
关键词
肝胆外科
医院感染
调查
预防措施
Hepatobiliary surgery
Nosoeomial infection
Investigation
Prevention measure
