腹部外科手术患者2017年医院感染部位及病原菌分析  

Analysis of Nosocomial Infections and Pathogens in Patients with Undergoing Abdominal Surgery in 2017

作　　者：胡久丽[1] 唐冠杰 肖旭[1] 崔亚男[1] 朱孝芹[1] 辛春兰[1] HU Jiuli;TANG Guanjie;XIAO Xu(The Affiliated Hospital of ChengdeMedical University, Hebei Chegnde 067000, China)

机构地区：[1]承德医学院附属医院

出　　处：《河北医学》2019年第8期1387-1390,共4页Hebei Medicine

基　　金：河北省承德市科学技术研究与发展计划项目,(编号:201701A094)

摘　　要：目的:分析腹部外科医院感染患者的感染部位、感染病原菌及其耐药性分析,对医院感染的防治提供依据;方法:回顾性分析2017年我院腹部外科576例住院患者中发生医院感染患者47例的临床资料,探讨出现医院感染病例手术类型,医院感染部位分布及构成比,医院感染的病原菌分布和耐药性.结果:47例感染病例中以Ⅱ类切口手术患者(占78.72%)为主;切口部位感染所占比例最高(63.27%),其次为呼吸系统感染(24.49%),另外为导管相关性的感染;感染病原菌送检率达到74.00%,其中检出率为59.09%,其中血标本的检出率最低;共分离出病原菌26例,其中革兰阴性菌12例,革兰阳性菌5例,真菌3例,结论:针对腹部急诊外科医院感染的主要感染部位,感染病原菌进行分析,最大限度的降低医院感染发生率,并为规范性选择抗菌药物提供依据,达到有效预防与控制医院感染的目的.Objective: To analyze the infection site, pathogens and drug resistance of patients with nosocomial infection in undergoing abdominal surgery, so as to provide evidence for the prevention and treatment of nosocomial infections. Methods: Retrospective analysis of 47 cases of hospital infection patients with 576 hospitalized patients in our hospital in 2017 The clinical data explored the types of surgery in hospital infections, the distribution and composition ratio of nosocomial infections, and the distribution and drug resistance of nosocomial infections. Results:: In the surgical patients, nosocomial infection occurred mainly in Ⅱ incision surgery (78.72%) in 47 cases, the proportion of infections in the incision site was the highest (63.27%), followed by respiratory infection (24.49%), and the other was catheter Correlation of infection;The submission rate of the pathogens causing the nosocomial infection reached 74.00%, of which the detection rate was 59.09%, of which the blood sample was the lowest;26 cases of pathogens were isolated, including 12 cases of Gram-negative bacteria, Gram 5 cases of positive bacteria and 3 cases of fungi. Conclusion:: The main infection sites of abdominal emergency surgery hospital infection, the analysis of infectious pathogens, to minimize the incidence of nosocomial infection, and provide a basis for the standard selection of antibacterial drugs, to achieve effective prevention and control the purpose of hospital infection.

关 键 词：腹部外科手术 医院感染 病原菌 抗菌药物 

分 类 号：R656[医药卫生—外科学] R446.5[医药卫生—临床医学]