全身麻醉手术患者医院感染调查与危险因素分析

Nosocomial infection investigation in patients underwent surgery by general anesthesia and its risk factors

  • 摘要: 目的 分析全身麻醉手术患者医院感染的特点和危险因素,降低医院感染发生率。方法 回顾性分析2012年1月-2014年12月1 658例手术患者的临床资料,统计患者医院感染率和感染部位,分析与医院感染相关的危险因素,数据采用SPSS 12.0软件进行统计分析。结果 1 658例患者发生医院感染148例,感染率8.93%;感染部位以呼吸道和手术部位感染为主,分别占66.22%和27.70%;logistic回归分析显示,年龄>60岁、侵入性操作、糖尿病、麻醉时间长、重复性使用喉镜镜片、使用过滤器和钠石灰更换是发生医院感染的独立危险因素(P<0.05)。结论 全身麻醉手术患者医院感染以呼吸道感染和手术部位感染为主,并且与多种危险因素相关,必须对这些因素加以干预,以预防医院感染的发生。

     

    Abstract: OBJECTIVE To analyze the characteristics and risk factors of nosocomial infections in patients underwent general anesthesia surgery, in order to reduce the incidence of nosocomial infections. METHODS The clinical data of 1658 patients underwent surgery were retrospectively analyzed, who got treated in our hospital from Jan. 2012 to Dec. 2014. The incidence of nosocomial infections and infection sites were analyzed. The independent risk factors associated with nosocomial infections were analyzed. The data were under statistic analysis by SPSS 12.0. RESULTS The nosocomial infections were found in 148 cases out of 1658 patients, and the incidence of nosocomial infection was 8.93%. The respiratory tract and surgical sites were the most two common infectious sites, accounting for 66.22% and 27.70%, respectively. logistic regression analysis showed that the independent risk factors of nosocomial infections were age>60, invasive operation, diabetes, long anesthesia time, repeated use of laryngoscope lens, filter using lime and sodium replacement (P<0.05). CONCLUSION The respiratory tract and surgical sites are easily infected sites in patients underwent general anesthesia surgery. And it is associated with a variety of risk factors, which must be paid more attention to, in order to prevent the occurrence of hospital infections.

     

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