老年患者胃肠术后切口感染病原菌特点及影响因素分析  

Pathogenic bacteria characteristics and its influencing factors of incisional infection in elderly patients after gastrointestinal infections

作　　者：吕倩 熊薇 徐敏 赖晓全 王伟[2] LYU Qian;XIONG Wei;XU Min;LAI Xiao-quan;WANG Wei(Tongji Medical College, Huazhong University of Science and Technology, Wuhan , Hubei 430030, Chin)

机构地区：[1]华中科技大学同济医学院附属同济医院感染管理科,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院肝脏外科,湖北武汉430030

出　　处：《中华医院感染学杂志》2018年第11期1686-1688,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨老年患者胃肠术后发生手术部位感染的影响因素及防控策略。方法选取医院2017年1月-12月行胃肠手术的164例患者,采取回顾性研究对手术部位感染的影响因素进行分析,并探讨手术部位感染的防控措施。结果 164例患者中发生手术部位感染48例,感染率为29.27%,多因素Logistic回归分析显示,年龄、糖尿病、手术时间、低白蛋白血症、BMI及开腹手术为患者术后感染的相关因素(P<0.05)。结论老年患者胃肠术后发生手术部位感染与多种因素相关,针对性地采取防控措施可以有效减少手术部位感染的发生。OBJECTIVE To investigate the influencing factors and prevention strategies of surgical site infections in elderly patients after gastrointestinal surgery.METHODS A total of 164 patients who underwent gastrointestinal surgery in our hospital from Jan.2017 to Dec.2017 were selected.A retrospective study was conducted to analyze the influencing factors of surgical site infections,and the prevention and control measures for surgical site infections were explored.RESULTS Among 164 cases of patients,48 were surgical site infections,and the infection rate was 29.27%.Multivariable logistic regression analysis showed that age,history of diabetes mellitus,operative time,hypoalbuminemia,BMI,and laparotomy were risk factors of postoperative infections（P〈0.05）.CONCLUSIONSurgical site infections after gastrointestinal surgery in elderly patients is associated with a variety of factors,and targeted prevention and control measures can effectively reduce the occurrence of surgical site infections.

关 键 词：老年患者 胃肠手术 手术部位感染 影响因素 

分 类 号：R619.3[医药卫生—外科学]