小儿外科患儿术后感染病原菌分析  

Distribution of pathogens causing postoperative infections in children of pediatric surgery department

作　　者：郜向阳[1] 侯广军[1] 翟文龙[1] 耿宪杰[1] 张现伟[1] 韦源[1] 

机构地区：[1]郑州市儿童医院普外科,河南郑州450000

出　　处：《中华医院感染学杂志》2015年第9期2131-2132,2160,共3页Chinese Journal of Nosocomiology

基　　金：国家自然科学基金资助项目(u1204815)

摘　　要：目的对小儿外科患儿术后感染病原菌分布进行调查,为临床预防小儿术后感染提供参考。方法对2008年8月-2013年8月小儿外科手术治疗并发术后感染患儿的临床资料进行回顾性分析,探讨小儿外科术后感染病原菌分布及感染相关因素;采用SPSS 17.0软件对数据进行统计分析。结果共检出病原菌140株,前3位病原菌依次为铜绿假单胞菌、肺炎克雷伯菌、金黄色葡萄球菌,分别占31.42%、20.00%、15.71%;感染部位以呼吸道、切口、尿道及消化道为主,分别占45.71%、34.29%、12.86%和7.14%;年龄≤3岁、Ⅱ型手术切口、手术时间>120min、急诊手术与小儿术后感染的发生具有相关性(P<0.05)。结论小儿外科手术后,应针对相关感染因素及易感部位做好预防工作,以利于患儿的康复。OBJECTIVE To investigate the distribution of the pathogens causing postoperative infections in the chil‐dren of pediatric surgery department so as to provide guidance for clinical prevention of the postoperative infections in the children .METHODS The clinical data of the children who received surgical treatment in the pediatric surgery department from Aug 2008 to Aug 2013 and were complicated with postoperative infections were retrospectively analyzed .The distribution of the pathogens causing the postoperative infections was observed ,the related factors for the infections were analyzed ,and the statistical analysis was performed by using SPSS17 .0 software .RESULTS A total of 140 strains of pathogens have been isolated ,among which the Pseudomonas aeruginosa , K lebsiella pneumoniae ,and Staphylococcus aureus ranked the top three species ,accounting for 31 .42% ,20 .00% ,and 15 .71% ,respectively .Of the children with the postoperative infections ,45 .71% had the respiratory tract infec‐tions ,34 .29% had the incision infections ,12 .86% had the urinary tract infections ,and 7 .14% had the gastroin‐testinal tract infections .The incidence of the postoperative infections in the children was associated with the no more than 3 years of age ,type Ⅱ surgical incision ,operation duration more than 120 min ,and emergency surgery （P〈0 .05） .CONCLUSION It is necessary to take targeted prevention measures in response to the related factors for the infections and the susceptible infection sites after the pediatric surgery so as to promote the rehabilitation of the children .

关 键 词：小儿外科 术后感染 病原菌 相关因素 

分 类 号：R619.3[医药卫生—外科学]