Pathogens causing postoperative nosocomial infections in radical hysterectomy patients and influencing factors

OBJECTIVE To investigate the pathogens causing postoperative nosocomial infections in radical hysterectomy patients and explore the influencing factors so as to provide guidance for prevention of the postoperative nosocomial infections in the radical hysterectomy patients.METHODS The clinical data of 152 cervical cancer patients who underwent the radical hysterectomy in the hospital from Jan 2008 to Jan 2016 were retrospectively analyzed, the incidence of postoperative nosocomial infections was investigated, and univariate analysis and multivariate logistic regression analysis were performed for the pathogens and the influencing factors for the postoperative nosocomial infections in the radical hysterectomy patients.RESULTS Of the 152 patients, 31 had postoperative nosocomial infections, with the infections rate 20.39%, 32.26% of whom had urinary tract infection, and 25.81% had surgical incision infections. A total of 39 strains of pathogens were isolated from the 31 patients with nosocomial infection, 25 (64.10%) of which were gram-negative bacteria, 11 (28.21%) were gram-positive bacteria, and 3 (7.69%) were fungi. The univariate analysis and multivariate logistic regression analysis indicated that urinary catheter indwelling time, age, chemotherapy, length of hospital stay and diabetes mellitus were the influencing factors for the postoperative nosocomial infections in the radical hysterectomy patients.CONCLUSION The incidence of the postoperative nosocomial infections is high in the radical hysterectomy patients; the nosocomial infection is associated with a variety of factors, which should be attached great importance by clinicians.