先天性耳前瘘管术后医院感染的影响因素分析  

Risk factors of postoperative nosocomial infections in patients with congenital anterior auricular fistula

作　　者：谢琼[1] 佘腊枝[1] 张先群[1] 

机构地区：[1]华中科技大学同济医学院附属荆州医院耳鼻喉科,湖北荆州434020

出　　处：《中华医院感染学杂志》2014年第3期708-710,共3页Chinese Journal of Nosocomiology

基　　金：湖北省卫生厅基金资助项目(WJ01566)

摘　　要：目的探讨先天性耳前瘘管术后医院感染的影响因素,为预防与控制医院感染提供临床依据。方法选择2012年3月-2013年3月医院收治的126例先天性耳前瘘管患者作为研究对象设为观察组,统计该类患者术后医院感染的发生情况,另选同期耳科手术患者125例作为对照组;对性别、年龄、感染部位、病原菌种类、手术时间、住院时间、抗菌药物的使用等可能导致医院感染的因素进行多因素logistic分析。结果 126例先天性耳前瘘管患者经手术后感染率男性为5.06%,女性为4.26%,男性与女性感染率比较差异无统计学意义;感染部位中呼吸道、泌尿系统、消化道感染分别占33.3%、16.7%、33.3%;多因素logistic回归分析结果显示,手术时间≥30min(β=1.444,OR=3.452)、使用抗菌药物(β=1.058,OR=3.074)、住院时间≥7d(β=1.116,OR=2.119)、感染部位(β=1.129,OR=1.751)是先天性耳前瘘管术后医院感染的独立危险因素。结论治疗先天性耳前瘘管的同时,应严格控制耳鼻喉外科术后感染的影响因素、执行无菌操作、充分做好术前准备、缩短手术与住院时间、正确使用抗菌药物,减少术后医院感染的发生。OBJECTIVE To explore the risk factors of postoperative nosocomial infections in patients with congenital anterior auricular fistula so as to provide basis for the prevention and control of nosocomial infections. METHODS From Mar 2012 to Mar 2013, totally 126 patients with congenital anterior auricular fistula were enrolled in this study and assigned as the observation group, then the incidence of the postoperative nosocomial infections was statistically analyzed, and another 125 patients who underwent otology surgery were chosen at the same period as the control group; the multivariate logistic analysis was performed to find out the risk fators which may lead to the nosocomial infections , including the gender, age, infection sites, species of pathogens, operation duration, length of hospitalization, and use of antibiotics. RESULTS Of totally 126 cases of congenital anterior auricular fistula patients investigated, the incidence of postoperative infections was 5.06 % among the male patients, 4.26 % among the female patients, the difference in the infection rate between the male patients and the female patients was not statistically significant. Among the pat infections accounted for 33. 3%, the gastrointestinal tract infections 33.3% ents with the postoperative infections, the patients with respiratory tract patients with urinary tract infections 16. 7%, and the patients with The multivariate logistic regression analysis showed that the operationduration more than 30 min （β=1.444, OR=3.452）, use of antibiotics （β=1.058, 0R=3.074）, duration of hospitalization more than 7d （β= 1. 116, OR= 2. 119）, and infection site （β= 1. 129, OR= 1. 751） were the independent risk factors for postoperative nosocomial infections in the congenital anterior auricular fistula patients.CONCLUSION During the treatment of the congenital anterior auricular fistula, it is necessary to strictly control the risk factors of the postoperative infections in ENT department, implement aseptic operation, fully prepare before t

关 键 词：先天性耳前瘘管 医院感染 因素分析 

分 类 号：R181.32[医药卫生—流行病学]