摘要
目的研究妇科老年患者手术后医院感染的类型、特点及相关风险因素,以便提供有效的预防措施。方法收集2017年1月-12月在复旦大学附属华东医院行老年妇科手术患者216例,其中医院感染16例,对其术后医院感染的相关资料进行统计分析。结果妇科老年患者手术后医院感染率为7.41%。医院感染部位依次为:手术切口(11例)、呼吸系统(3例)、盆腔(1例)、泌尿系统(1例)。手术时间为术后发生医院感染的独立危险因素,其OR值为5.444。结论妇科老年患者手术后医院感染率较普通人群明显升高,以手术切口感染为主,缩短手术时间对降低老年患者妇科术后医院感染的发生率有一定的作用。
Objective To discuss the types,characteristics and related risk factors of post-operative nosocomial infection in elderly gynecological patients.Methods Nosocomial infection occurred in 16 cases out of the 216 elderly undergoing gynecological operations during the period from Jan.,2017 to Dec.,2017 and statistical analysis was made to the data related to post-operative nosocomial infection of the 16 cases.Results The rate of post-operative nosocomial infection was 7.41%and infected location ranged as follows:operation incision(11 cases),respiratory system(3 cases),pelvic cavity(1 case)and urinary system(1 case);the length of operation time was the independent risk factor of post-operative nosocomial infection(OR=5.444).Conclusions The rate of post-operative nosocomial infection in elderly gynecological patients is higher than that in general population and the infection occurs mainly at operation incision;to shorten the operation time is of certain help in reducing the occurrence of post-operative nosocomial infection in elderly gynecological patients.
作者
杜聚
陈越火
高燕
Du Ju;Chen Yuehuo;Gao Yan(Huadong Hospital Affiliated to Fudan University,Shanghai,200040,P.R.China;Department of Nosocomial Infection Management)
出处
《老年医学与保健》
CAS
2019年第2期206-208,222,共4页
Geriatrics & Health Care
关键词
医院感染
老年患者
妇科手术
感染控制
危险因素
nosocomial infection
elderly patients
gynecological surgery
infection control
risk factors
