摘要
目的分析宫颈癌根治术患者医院感染相关因素及预防对策。方法对2010年5月-2013年5月行宫颈癌根治术的130例患者术后感染进行调查,分析感染的相关因素和预防对策。结果 130例宫颈癌根治术患者中45例发生医院感染,感染率为34.6%;感染部位以深部切口和浅表切口为主,分别占28.8%、26.7%;共检出病原菌28株,其中真菌15株、大肠埃希菌10株、肠球菌属3株;大肠埃希菌对哌拉西林、头孢唑林、头孢呋辛的耐药率分别高达100.0%、100.0%、88.9%,对亚胺培南的耐药率最低为0;术后导尿次数≥2次、并发糖尿病、尿管留置时间≥14d、引流管放置时间≥8d的患者医院感染率较其他组高,并是术后发生医院感染的危险因素,差异有统计学意义(P<0.05)。结论为减少医院感染发生,除了要严格进行无菌操作和加强术后切口引流之外,护士遵医嘱合理正确应用抗菌药物、各项护理操作严格执行手卫生、防止医源性感染是预防患者医院感染的一个重要环节。
OBJECTIVE To analyze the related factors and preventive measures of nosoeomial infections in patients with radical hysterectomy. METHODS An investigation was conducted on the postoperative infections of 130 cases of patients undergoing radical hysterectomy in our hospital from May 2010 to May 2013, and the factors related to infections and preventive measures were analyzed. RESULTS Among 130 patients undergoing radical hysterectomy,45 cases developed nosocomial infections, with the infection rate of 34.6% the sites of infection were mostly superficial incision and deep incision, accounting for 28.8% and 26.7% respectively. A total of 28 pathogens were detected, of which 15 strains were fungi,10 strains were Escherichia coli, 3 strains were Enterococcus. The drug resistance rates of Escherichia coli to piperacillin, cefazolin, cefuroxime were 100. 0%,100. 0%, 88.9%, and the rate was the lowest to imipenem to be 0. Patients with the times of postoperative catheterization 2, concurrent diabetes mellitus, catheter indwelling time ≥ 14 d, the time of drainage tube placement ≥ 8 d had a higher nosocomial infection rates than those in other groups. These factors were the risk factors of postoperative nosocomial infections, the difference was statistically significant （P 〈 0. 05）. CONCLUSIONS In addition to strict sterile operation and strengthening incision drainage, in order to reduce the incidence of nosocomial infections, the nurse should reasonably use antibacterial drugs prescribed, and strict implementation of the nursing hand hygiene was required, so prevention of hospital-acquired infections in patients was an important part in the prevention of nosocomial infection.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第11期2810-2812,共3页
Chinese Journal of Nosocomiology
基金
无锡市医管中心科研基金资助项目(YGZXH1306)
关键词
手术
宫颈癌
相关因素
医院感染
Surgery
Cervical cancer
Related factors
Nosocomial infection
