食管癌患者术后医院感染调查分析

目的探讨食管癌患者术后医院感染的危险因素,为有效控制医院感染提供科学依据。方法对2002年1月-2005年12月466例食管癌患者临床资料进行回顾性调查。结果食管癌患者术后医院感染发病率为21.03%,感染部位主要为手术切口、下呼吸道和胸腔,医院感染率随着住院时间的延长而明显增高。结论食管癌医院感染的发生与患者的年龄、住院天数和手术后时间等因素密切相关;针对高危因素有针对性采取术中严格无菌操作、术后保持引流管通畅,合理使用抗菌药物等控制措施,对降低医院感染的发生有重要意义。

Postoperative Nosocomial Infection in Esophageal Cancer Patients:Investigation and Analysis

OBJECTIVE To investigate the risk factors of postoperative nosocomial infection in esophageal cancer patients,and to provide evidences for controlling nosocomial infection.METHODS The data of 466 cases with esophageal cancer,from Jan 2002 to Dec 2005,were studied retrospectively.RESULTS The nosocomial infection rate of patients with esophageal cancer was 21.03%.The main locations of infection were operation incision,lower respiratory tract and thorax.The nosocomial infection rate had increasing trend as lengthening the hospitalization duration.CONCLUSIONS The nosocomial infection with esophageal cancer is related to age,hospitalization duration and postoperative time.To take measures for infective factors,for example,intraoperative aseptic operation,postoperative drainage tube unblocked and rational use of antibiotics,is important to control and decrease the nosocomial infection.