普通胸外科术后感染分析

目的了解医院普通胸外科术后感染的相关因素,为预防和控制医院感染提供科学依据。方法对医院2006年1月1日-2011年8月31日普通胸外科术后患者进行流行病学调查,共获得病历718份。结果 718例患者中,手术后发生感染30例,感染率为4.18%,其中男性412例,感染17例,感染率为4.13%,女性306例,感染13例,感染率为4.25%,男、女感染率差异无统计学意义;在医院普通胸外科术后感染呼吸系统疾病占36.67%,泌尿系统疾病占30.00%,消化系统疾病占23.33%,其他系统疾病等占10.00%;普通胸外科术后感染影响因素是感染并发部位、手术持续时间、住院时间、抗菌药物使用种类等。结论患者的手术持续时间、手术部位、住院时间以及手术后抗菌药物使用种类等是造成普通胸外科术后感染的主要因素;手术室医护人员应严格按时间、程序洗手,并加强手术室空气消毒管理。

Infections after general thoracic surgery

OBJECTIVE To understand the related factors for hospital infections after general thoracic surgery so as to provide scientific bases for the prevention and control of nosocomial infections.METHODS The epidemiology survey of 718 patients who underwent general thoracic surgery from Jan 1 2006 to Aug 31 2011 was conducted.RESULTS Of 718 patients investigated,postoperative infections occurred in 30 cases with the infection rate of 4.18%,including 17 of 412 male patients with the infection rate of 4.13% and 13 of 306 female patients with the infection rate of 4.25%,the difference in the infection rate between the male and female patients was not statistically significant;after the general thoracic surgery,respiratory system diseases accounted for 36.67%,urinary system diseases accounted for 30.00%,digestive system diseases accounted for 23.33%,and other system diseases accounted for 10.00%;the site complicated by infections,duration of surgery,hospital stay,and the types of antibiotics were the related factors for the infections after general thoracic surgery.CONCLUSION The duration of the surgery,the surgical site,and duration of hospitalization and the types of antibiotics are the major factors for the infections after general thoracic surgery;the nursing staff in the operating room should wash hands in accordance with strict time and procedure,the disinfection of the air in the operating room should be strengthened.