摘要
目的分析宫颈癌根治术后患者医院感染的状况、特点、病原菌分布及其耐药性,探究其预防措施。方法对2009年10月-2010年9月在医院行宫颈癌根治术患者120例进行医院感染相关因素调查分析。结果 120例宫颈癌根治术患者发生医院感染40例次,例次感染率为33.3%;手术部位感染最多见,占52.5%,其次为消化道感染,占27.5%;检出病原菌24株,以真菌(12株)占首位,其次为大肠埃希菌(9株);大肠埃希菌对亚胺培南的耐药率为0,对头孢他啶、头孢吡肟、阿米卡星耐药率分别为12.5%、12.5%、12.5%。结论为减少医院感染的发生,除应严格无菌技术操作及加强术后切口的引流外,合理使用抗菌药物是预防医院感染的重要环节。
OBJECTIVE To analyze the status, characteristics, pathogenic distribution and drug resistance oi nosoeomial infection （NI） in cervical cancer patients after surgical procedures and explore preventive measures. METHODS Relevant factors of nosocomial infections in 120 patients with cervical cancer after radical hysterectomy and pelvic lymphadenectomy from Oct. 2009 to Sep. 2010 were investigated. RESULTS In the 120 patients with cervical cancer after radical surgery, there were 40 cases of nosocomial infections, with the infection rate of 30.0 % ; the main infection site was surgical site infection （SSI） （52.5 %）, followed by gastrointestinal infection （27. 5%）. Among the 24 strains of pathogenic microbes, the predominant microorganisms were fungi （12 strains） ,followed by Escherichia coli （9 strains）. E. coli showed the lowest resistance rate to imipenem, followed by ceftazidime, cefepime and amikacin. The drug resistance rates were 0, 12. 5%, 12. 5% and 12. 5% respectively. CONCLUSION It is vital to prevent and control surgical nosocomial infections by strict application of aseptic technique, enhancing incision drain and rational use of antimicrobial agents.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第24期5213-5214,共2页
Chinese Journal of Nosocomiology
关键词
宫颈癌
手术
医院感染
相关因素
Cervical cancer
Surgery
Nosocomial infection
relevant factor
