腹部手术切口感染分泌物病原体分布特点调查分析  

Investigation and analysis of pathogens distribution in abdominal incision infection

作　　者：战相菲 柴立新 叶颖碧 蒋丹菁 ZHAN Xiang-fei;CHAI Li-xin;YE Ying-bi;JIANG Dan-jing(Operating Room,Affiliated Hospital of Hangzhou Normal University,Hangzhou,Zhejiang 310015,China;不详)

机构地区：[1]杭州师范大学附属医院手术室,浙江杭州310015 [2]杭州师范大学附属医院胃肠肝胆外科,浙江杭州310015

出　　处：《中国卫生检验杂志》2020年第2期239-241,共3页Chinese Journal of Health Laboratory Technology

摘　　要：目的腹部手术切口感染分泌物病原体分布特点调查分析。方法回顾性分析2016年8月-2018年8月在本院行腹部手术治疗的560例患者的临床资料,确诊为腹部手术后切口感染的患者80例作为观察组,未发生切口感染的480例患者定为对照组,收集切口分泌物进行病原体鉴定,调查分析病原体分布特点及药敏结果,采用Logistic回归分析探讨腹部切口耐药的风险因素。结果感染组患者年龄>60岁、手术时间>4 h、伴有基础疾病、阑尾切口、BMI>29 kg/m^2、Ⅲ类切口分布率均高于非感染组;感染患者大肠埃希菌、铜绿假单胞菌、阴沟杆菌、金黄色葡萄球菌、粪球菌发病率分别为27.5%、22.5%、20.0%、17.5%、6.3%。阑尾手术、BMI>29 kg/m^2、基础疾病是患者耐药菌感染的独立危险因素(P<0.05)。结论腹部手术切口感染耐药率高,值得临床重点关注。Objective To investigate the distribution characteristics of pathogens in abdominal incision infection.Methods A retrospective analysis was made on 560 patients who underwent abdominal surgery in our hospital from August 2016 to August2018.80 patients diagnosed as incision infection after abdominal surgery were taken as observation group.480 patients without incision infection were taken as control group.Pathogens were identified by collecting incision secretions and scoring.The distribution characteristics of pathogens and the results of drug susceptibility were analyzed.The risk factors of drug resistance in abdominal incision were analyzed by logistic regression analysis.Results The incision distribution rate of infection group was higher than that of non-infection group in age>60 years old,operation time>4 hours,with basic diseases,appendix incision,BMI index>29 kg/m^2,Ⅲincision.The incidence of Escherichia coli,Pseudomonas aeruginosa,Cloacea,Staphylococcus aureus and Faecal cocci were 27.5%,22.5%,20.0%,17.5%,6.3%.Appendiceal surgery,BMI>29 kg/m^2,and basic disease were independent risk factors for drug-resistant bacteria infection in patients(P<0.05).Conclusion The infection rate of abdominal incision infection is high,which is worthy of clinical attention.

关 键 词：腹部手术 切口感染 病原体 调查分析 

分 类 号：R446.5[医药卫生—诊断学]