普通外科患者手术部位感染的危险因素分析

Risk factors for surgical site infections in patients of general surgery department

  • 摘要: 目的 分析普通外科患者手术部位感染的相关危险因素,为临床预防与治疗患者手术部位感染提供科学的数据参考。方法 选择2012年9月-2014年9月医院普通外科430例手术患者的临床资料,筛选出主要的危险因素,分析危险因素与患者手术部位感染的相关性,采集可疑切口感染患者相关标本进行病原学培养及药敏分析,采用SPSS 12. 0软件进行统计分析。结果 430例患者中有21例发生手术部位感染,发生率4.9%;检出病原菌以革兰阴性菌为主占71.4%,其次为革兰阳性菌、真菌,分别占19.0%、9.6%,患者年龄、性别、糖尿病、手术切口类型、手术的时间、肥胖、围术期贫血、营养不良、术前毛发剔除以及手术时机等是发生手术部位感染的相关危险因素。结论 加强对手术部位感染危险因素的认识与管理,并且采取预防性的措施,能够有效降低普通外科手术部位感染患者的感染率。

     

    Abstract: OBJECTIVE To analyze the related risk factors for surgical site infections in patients of general surgery department so as to provide scientific basis for clinical prevention and treatment of the patients with surgical site infections. METHODS The clinical data were collected from 430 patients who underwent surgeries in the general surgery department from Sep 2012 to Sep 2014, then the major risk factors were screened out, the correlation between the risk factors and the surgical site infections was observed, the specimens were collected from the patients with suspected incision infections so as to conduct the etiological culture, the drug susceptibility testing was performed, and the statistical analysis of data was performed with the use of SPSS 12.0 software and EXCEL software. RESULTS Of the 430 patients, 21 had surgical site infections with the incidence rate of 4.9%. Among the isolated pathogens, 71.4% were gram-negative bacteria, 19.0% were gram-positive bacteria, and 9.6% were fungi. The related risk factors for the surgical site infections included the age, genders, diabetic mellitus, types of surgical incision, operation duration, obesity, perioperative anemia, malnutrition, preoperative hair removing, and timing of surgery. CONCLUSION It is an effective way to strengthen the awareness and management of the risk factors for the surgical site infections and take the preventive measures so as to reduce the incidence of the surgical site infections in the patients of the general surgery department.

     

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