论文部分内容阅读
目的了解肝胆外科医院感染特点及其危险因素,探讨有效的预防控制措施,减少医院感染的发生。方法对我院肝胆外科2010年所有住院患者,采取回顾性调查的方法进行研究。结果肝胆外科医院感染共82人次,105例次,感染率2.54%,例次感染率3.25%;感染类型以手术部位感染(41.90%)、下呼吸道感染(26.67%)和菌血症(16.19%)为主;病原菌依次为革兰氏阴性菌(62.61%),革兰氏阳性菌(30.43%),真菌(6.96%);肝肿瘤切除术和胰十二指肠切除术后的患者感染率最高,分别占术后感染的35.39%和15.49%。结论肝胆外科医院感染以手术部位感染为主,感染的病原菌主要为革兰氏阴性菌,肝脏和胰腺肿瘤手术是肝胆外科疾病医院感染增高的重要因素,应针对其特点,采取更积极及合理的治疗措施,同时也应重点进行医院感染的监测。
Objective To understand the characteristics and risk factors of nosocomial infection in hepatobiliary surgery and explore effective prevention and control measures to reduce the occurrence of nosocomial infections. Methods All inpatients with hepatobiliary surgery in our hospital in 2010 were studied retrospectively. Results The infection rate was 41 (82%), 105 (105) times, infection rate was 2.54% and the infection rate was 3.25%. The infection type was 41.90% in surgical site, 26.67% in lower respiratory tract infection and 16.19% ), Followed by Gram-negative bacteria (62.61%), Gram-positive bacteria (30.43%) and fungi (6.96%). The infection rate after liver tumor resection and pancreatoduodenectomy The highest, accounting for 35.39% and 15.49% of postoperative infections respectively. Conclusions Hepatobiliary surgery hospital infection is mainly in the surgical site. The main pathogen of infection is Gram-negative bacteria. Liver and pancreatic tumor are important factors of nosocomial infection of hepatobiliary surgery. A more positive and reasonable Treatment measures, but also should focus on monitoring of nosocomial infections.