乳腺癌患者术后感染及危险因素研究  

Study on Postoperative Infection and Risk Factors in Patients with Breast Cancer

作　　者：王玉玲[1] 王伟文[1] 胡星霞[1] 朱敏淑 WANG Yu-ling;WANG Wei-wen;HU Xing-xia;ZHU Min-shu(Taizhou Hospital of Zhejiang Province)

机构地区：[1]浙江省台州医院

出　　处：《医院管理论坛》2020年第3期41-42,46,共3页Hospital Management Forum

基　　金：台州市科技计划项目,编号:1802ky02。

摘　　要：目的探讨乳腺癌患者术后院内感染的危险因素及预防对策。方法回顾性调查2014年至2018年浙江省台州医院行乳腺癌手术的2280例住院患者,采用单因素和多因素Logistic回归分析院内感染率、感染部位及相关危险因素。结果2280例乳腺癌患者院内感染率为4.04%(92/2280),感染部位以呼吸道(36.96%)和手术切口(29.35%)为主;术后感染的危险因素包括:合并基础疾病、营养不良、PICC置管、化疗周期、血清白蛋白及抗菌药物种类。结论乳腺癌患者术后院内感染率较高,应充分考虑感染部位及相关危险因素,早期采取预防对策,以降低患者术后院内感染率。Objective To explore the risk factors and preventive strategies of postoperative nosocomial infection in breast cancer patients.Methods A retrospective survey of 2280 patients undertaking surgery for breast cancer in Taizhou Hospital of Zhejiang Province from 2014 to 2018 was carried out.The incidence rate and sites of nosocomial infection were analyzed,and the risk factors were screened by univariate analysis and multivariate Logistic regression analysis.Results The incidence rate of nosocomial infection was 4.04%(92/2280),and the infection mainly happened in respiratory tract(36.96%)and surgical incision(29.35%).The risk factors of postoperative nosocomial infection included comorbidities,malnutrition,with peripherally inserted central catheter,chemotherapy cycle,serum albumin,and type of antibiotics.Conclusion The postoperative nosocomial infection rate of breast cancer patients is relatively high.Early preventive measures should be taken with full consideration of the infection sites and related risk factors,to reduce the postoperative nosocomial infection rate.

关 键 词：乳腺癌 院内感染 危险因素 预防对策 

分 类 号：R197.3[医药卫生—卫生事业管理]