妇科恶性肿瘤患者子宫全切术后手术部位感染危险因素

目的 探讨子宫全切术后手术部位感染(SSI)的危险因素,为预防和控制SSI提供策略.方法 采用回顾性方法调查2014年1月—2019年12月湖北省某肿瘤医院妇科恶性肿瘤患者子宫全切术后SSI情况及检出病原菌,并进行其SSI危险因素分析.结果 978例妇科恶性肿瘤患者行子宫全切术,发生SSI 94例,SSI发病率为9.6...

Risk factors for surgical site infection after total hysterectomy in patients with gynecological malignant tumor

Objective To evaluate the risk factors for surgical site infection (SSI) after total hysterectomy, provide strategies for the prevention and control of SSI. Methods Occurrence and pathogens of SSI in gynecological malignant tumor patients after total hysterectomy in a tumor hospital of Hubei Province From January 2014 to December 2019 was investigated retrospectively, risk factors for SSI were analyzed. Results 978 patients with gynecological malignant tumor underwent total hysterectomy, 94 (9.61%) of whom had SSI, 14 (1.43%) were superficial incisional infection, 80 (8.18%) were organ space infection. Multivariate logistic regression analysis showed that patients with pre-operative hypoproteinemia (OR=2.3, 95% CI [1.3-4.1]) and operation time more than 3 hours (OR=3.4, 95% CI [1.0-10.9]) had an increased risk of SSI, which were independent risk factors for SSI after total hysterectomy. 59 strains of pathogenic bacteria were isolated from surgical infection site, mainly Escherichia coli (62.71%, 37 strains). Conclusion Patients with gynecologic malignant tumor after total hysterectomy have high incidence of SSI, pre-operative hypoproteinemia and operation time are independent risk factors for SSI, corresponding measures should be taken.