摘要
目的分析肝胆胰腺手术患者术后医院感染的影响因素与预防改善措施。方法回顾性分析120例肝胆胰腺手术患者的临床资料,分析患者术后医院感染部位、感染菌株类型及危险因素。结果患者术后医院感染发生率为8.33%,其中手术切口占比最高,为4.17%,其次为下呼吸道,占比为3.33%。患者术后医院感染的菌株类型中革兰阴性菌、革兰阳性菌占比分别为50.00%、40.00%,真菌占比为10.00%。患者术后医院感染危险因素中患者因素、手术因素及操作因素均可引发感染,占比较高,分别为40.00%、50.00%、40.00%。结论肝胆胰腺手术术后医院感染的影响因素较多,需要在临床工作中强化风险意识,制定相应的预防改进措施,减少发生率,提升临床疾病干预效果。
Objective To analyze the influencing factors and preventive measures of postoperative nosocomial infection in patients undergoing hepatobiliary and pancreatic surgery.Methods The clinical data of 120 patients undergoing hepatobiliary and pancreatic surgery were analyzed retrospectively.The nosocomial infection sites,types of infection strains and risk factors were analyzed.Results The incidence of postoperative nosocomial infection in surgical patients was 8.33%,of which the proportion of surgical incision was the highest,accounting for 4.17%,followed by the lower respiratory tract,accounting for 3.33%.Among the strains of postoperative nosocomial infection,gram-negative bacteria and gram-positive bacteria accounted for 50.00%and 40.00%respectively,while fungi accounted for 10.00%.Among the risk factors of postoperative nosocomial infection,patient factors,surgical factors,and operating factors can all cause infections,accounting for a relatively high proportion of 40.00%,50.00%,and 40.00%,respectively.Conclusion There are many influencing factors of nosocomial infection after hepatobiliary and pancreatic surgery.It is necessary to strengthen risk awareness in clinical work,formulate corresponding prevention and improvement measures,reduce the incidence rate and improve the effect of clinical disease intervention.
作者
徐新强
赖小易
杨四清
徐建国
XU Xin-qiang;LAI Xiao-yi;YANG Si-qing(Heyuan People’s Hospital Affiliated to Jinan University,Heyuan 517000,China)
出处
《中国实用医药》
2021年第27期40-42,共3页
China Practical Medicine
关键词
肝胆胰腺手术
术后医院感染
影响因素
预防改善措施
Hepatobiliary and pancreatic surgery
Postoperative nosocomial infection
Influencing factors
Preventive measures
