摘要
目的探讨和分析手术患者发生切口感染的手术室影响因素与感染病原菌分布特点。方法选取2012年1月-2016年12月期间在医院手术室施行手术的3596例患者作为临床研究对象,回顾性分析手术患者的性别、年龄、手术性质、手术地点、手术时间、放置引流管、接台手术及参观人员等临床资料,分析引起切口感染的手术室影响因素以及病原菌分布特点。结果医院手术室施行手术的3596例患者中发生切口感染35例,感染率为0.97%;患者切口感染类型为表浅手术切口感染占71.43%,深部手术切口感染占28.57%;年龄>60岁、手术性质为急诊手术、手术地点为非层流室、手术时间>3h、接台手术、有参观人员均为切口感染的手术室影响因素;35例切口感染患者共检出病原菌40株,其中革兰阴性菌26株占65.00%,革兰阳性菌11株占27.50%,真菌3株占7.50%。结论患者年龄、手术性质、手术地点、手术时间、接台手术、参观人员均为切口感染的手术室影响因素,感染的病原菌主要以革兰阴性菌为主,临床上应根据其影响因素和病原菌分布特点给予针对性的应对措施。
OBJECTIVE To explore the influencing factors for incision infections in operating rooms and investigate the distribution of pathogens causing the infections.METHODS A total of 3596 patients who received surgical procedures in operating rooms of the hospital from Jan 2012 to Dec 2016 were recruited as the study objects,the clinical data of the patients,including gender,age,types of surgery,surgical locations,operation duration,placement of drainage tube,consecutive surgery and visiting people,were retrospectively analyzed,and the influencing factors for the incision infections and distribution of pathogens were observed.RESULTS Of the 3596 patients who received the surgical procedures in operating rooms,35 had incision infections,with the infection rate 0.97%,of whom 71.43% had superficial surgical incision infections,and 28.57% had deep surgical incision infections.The influencing factors for the incision infections in operating rooms included more than 60 years of age,emergency surgery,non-laminar flow room,operation duration more than 3 hours,consecutive surgery and visiting people.Totally 40 stains of pathogens were isolated from the 35 patients with the incision infections,of which 26（65.00%）were gram-negative bacteria,11（27.50%）were gram-positive bacteria,and 3（7.50%）were fungi.CONCLUSION The influencing factors for the incision infections in the operating rooms include the age,types of surgery,surgical locations,operation duration,consecutive surgery and visiting people.The gram-negative bacteria are dominant among the pathogens causing the infections.It is necessary for the hospital to take targeted measures according to the influencing factors and distribution of pathogens.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2018年第2期305-308,共4页
Chinese Journal of Nosocomiology
关键词
切口感染
手术室
影响因素
病原菌分布
预防措施
Operating room
Incision infection
Influencing factor
Distribution of pathogen
Prevention measure
