摘要
目的探讨内镜胆道支架置入术后胆道感染的相关因素,为预防经内镜胆道支架置入术后胆道感染提供依据。方法回顾性分析2013年2月-2015年2月收治的40例经内镜胆道支架置入术患者临床资料,对影响术后胆道感染的相关因素及常见病原菌进行统计,并对相关影响因素进行单因素和多因素logistic回归分析。结果 40例内镜胆道支架置入术患者发生胆道感染10例,感染率为25.0%;感染患者共培养出病原菌24株,其中革兰阴性菌16株占66.67%,革兰阳性菌8株占33.33%;年龄>70岁、术前黄疸>15d、术前有胆道感染、术前生活质量评分、每日平均引流量等是患者术后发生胆道感染的危险因素。结论了解经内镜胆道支架置入术后胆道感染的相关因素及其细菌谱,有助于合理选择有效抗菌药物和及时有效的控制感染。
OBJECTIVE To analyze the factors of biliary tract infections after endoscopic biliary stenting so as to provide reference for a better prevention of biliary tract infections after endoscopic biliary stenting .METHODS Clinical data of 40 patients with endoscopic biliary stenting from Feb .2013 to Feb .2015 were retrospectively studied .The related factors influencing postoperative biliary tract infections and the common pathogens were sta‐tistically summarized ,and related factors were analyzed by univariate and multivariate logistic regression analyses . RESULTS Among the 40 cases who accepted endoscopic biliary stenting ,biliary tract infection occurred in 10 ca‐ses ,the infection rate was 25 .0% .Totally 24 pathogens were cultured from the 10 cases of infections ,including 16 gram‐negative bacteria accounting for 66 .67% ,8 gram‐positive bacteria accounting for 33 .33% .Age〉 70 years ,preoperative jaundice〉 15 d ,preoperative biliary tract infections ,preoperative quality of life scores ,and average daily drainage volume were risk factors of postoperative biliary tract infections .CONCLUSION Under‐standing related factors and the bacterial profile after endoscopic biliary stenting contributes to a reasonable choice of effective antibiotics and timely and effective infection control .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第19期4491-4493,共3页
Chinese Journal of Nosocomiology
基金
浙江自然科学基金资助项目(LQZH16012)
