开胸患者术后胸腔闭式引流管相关性感染调查

Investigation and study of thoracic cavity closed drainage tuberelative infection status with thoracotomy patients

  • 摘要: 目的 调查开胸患者术后胸腔闭式引流管相关性感染状况,为预防及降低引流管相关感染提供参考。方法 选取2013年1月-2015年12月在医院开胸手术后行胸腔闭式引流的患者120例,调查患者引流管相关性感染发生及可能引起感染发生的相关因素。结果 120例开胸手术患者术后发生引流管相关性感染28例,感染率23.34%,其中以引流管病原菌定植感染为主;培养出病原菌24株,分别为铜绿假单胞菌9株、肺炎克雷伯菌5株、金黄色葡萄球菌4株、溶血性葡萄球菌3株、表皮葡萄球菌2株、鲍氏不动杆菌1株,分别占37.50%、20.83%、16.67%、12.50%、8.33%、4.17%;年龄≥60岁、引流管留置时间、引流管个数、引流管护理次数为患者发生感染的相关因素。结论 开胸患者术后胸腔闭式引流管相关性感染以引流管病原菌定植多见,创口及组织感染相对较少,铜绿假单胞菌是主要感染病原菌,患者年龄、引流管个数及留置时间、护理状况与感染的发生有密切关系。

     

    Abstract: OBJECTIVE To investigate and study of thoracic cavity closed drainage tube relative infection status in patients with thoracotomy,so as to provide reference for preventing and reducing the infection of drainage tube.METHODS A total of 120 patients with thoracic cavity closed drainage tube relative infection after thoracotomy from Jan.2013 to Dec.2015 were selected.The drainage tube relative infection status and other related factors may cause infections were under investigation.RESULTS There were 28 cases of postoperative drainage tube relative infections in 120 cases of patients with thoracotomy,and the infection rate was 23.34%,in which the engraftment infection related with drainage tube was the main one.There were 24 strains of pathogenic bacteria,9strains of Pseudomonas aeruginosa,5strains of Klebsiella pneumoniae,4strains of Staphylococcus aureus,3strains of Staphylococcus haemolyticus,2strains of Staphylococcus epidermidis,and 1strains of Acinetobacter,accounting for 37.50%,20.83%,16.67%,12.50%,8.33% and 4.17% respectively.Infection of patients elder than 60 years old,drainage tube indwelling time,the drainage tube amount and drainage tube nursing times were the related factors.CONCLUSION Engraftment infection is more often to see in thoracotomy patients postoperative thoracic cavity closed drainage pipe related infections,but wounds and tissue infection is relatively less.P.aeruginosa are the main pathogens of infection.Age,number of drainage tube and the indwelling time,nursing status are closely related with the incidence of infection.

     

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