摘要
目的研究腹部切口多重耐药菌感染的危险因素,为制定防控措施提供依据。方法通过回顾性调查方法,对某教学医院住院腹部手术患者术后切口感染危险因素进行调查与分析。结果共调查腹部手术切口感染患者397例,分离出多重耐药菌感染74例,占感染患者的18.64%。多因素分析结果表明,体质指数(BMI)>24 kg/m2、营养不良、手术类型、切口长度>15 cm、放化疗、抗菌药物使用天数≥7 d等是腹部手术切口多重耐药菌感染独立危险因素。结论该医院腹部手术患者切口多重耐药菌感染比例较高,针对危险因素建立多重耐药菌防控综合性措施,构成防控的关键措施。
Objective To study the risk factors of abdominal incision multi-drug resistant infections so as to provide basis for formulating prevention and control measures. Methods Through retrospective investigation methods,the risk factors of postoperative wound infection in hospitalized patients undergoing abdominal surgery were investigated and analyzed. Results A total of 397 cases of abdominal incision infections were investigated and 74 multi-drug resistant infections were isolated,that accounted for 18. 64% of the infected patients. Multivariate analysis showed that body mass index（ BMI） 〉24 kg/m^2,malnutrition,type of surgery,length of incision 〉15 cm,radiotherapy and chemotherapy,and days of antibacterial use ≥7 d were independent risk factors for multiple drug-resistant infections in abdominal incisions. Conclusion The proportion of multi-drug resistant infections of incisions in patients undergoing abdominal surgery in this hospital is high,and comprehensive measures for the prevention and control of multidrug resistant bacteria are established for risk factors,which constituting the key measures for prevention and control.
作者
谢朝云
覃家露
熊芸
孙静
杨怀
杨忠玲
XIE Zhao - yun;QIN Jia - lu;XIONG Yun;SUN Jing;YANG Huai;YANG Zhong - ling(The Third Affiliated Hospital of Guizhou Medical University, Duyun Guizhou 55800;Guizhou Provincial People＇ s Hospital, China)
出处
《中国消毒学杂志》
CAS
2018年第5期339-341,共3页
Chinese Journal of Disinfection
基金
贵州省科技厅联合项目(黔科合LH字2014-7162)
贵州省黔南州社会发展科技项目(黔南科合社字2013-20)
关键词
腹部手术
多重耐药菌
切口感染
危险因素
abdomen operation
multiple drug resistant bacteria
surgical incision infection
risk factors
