2019—2022年某肿瘤医院手术部位感染危险因素调查分析  

Investigation and Analysis of Risk Factors for Surgical Site Infection in a Cancer Hospital from 2019 to 2022

作　　者：孙孟艺 宋庆饶 张尧天 姜乃浒[1] Sun Mengyi;Song Qingrao;Zhang Yaotian(Harbin Medical University Cancer Hospital,Harbin,Heilongjiang,150081,China)

机构地区：[1]哈尔滨医科大学附属肿瘤医院,黑龙江哈尔滨150081

出　　处：《黑龙江医学》2024年第12期1477-1480,共4页Heilongjiang Medical Journal

基　　金：国家卫生健康委医疗质量(循证)管理研究项目(YLZLXZ23G091);黑龙江省卫生健康委科研课题(20221212070992);黑龙江省肿瘤医院海燕科研基金(JJMS2023—20);黑龙江省肿瘤医院海燕科研基金(JMS2021—32)。

摘　　要：目的:探讨某肿瘤医院手术部位感染(SSI)的危险因素,为减少肿瘤患者SSI,并采取相应的预防与控制措施提供一定参考依据。方法:采用回顾性分析方法,从医院感染数据库中调取某肿瘤医院2019年1月1日—2022年12月31日的手术患者相关数据,依据《医院感染诊断标准》判定SSI病例,采用单因素logistic回归分析、多因素logistic回归分析方法分析SSI危险因素。结果:性别、住院时间、手术时间、检出病原菌、使用中心静脉导管、多重耐药菌感染、导尿管使用时间和中心静脉导管使用时间是术后SSI的影响因素。结论:SSI的危险因素较多,术后应针对患者具体情况制订相关诊疗措施,降低术后SSI的发生率,缩短住院时间,保障患者健康。Objective:To investigate the risk factors of surgical site infection in a cancer hospital in Heilongjiang Province,so as to provide some reference for reducing postoperative incision infection of tumor patients,and taking corresponding prevention and control measures.Methods:Through retrospective investigation,the data of surgical patients in the hospital from July 1,2020 to June 30,2022 were collected from the database of hospital infection.The diagnosis was made according to“Diagnostic Criteria for Hospital Infection”.Univariate and multivariate logistic regression models were used to analyze the related risk factors and describe the distribution of pathogenic bacteria.Results:Gender,hospitalization duration,operation duration,detected bacteria,use of the central vein,multi drug resistant bacterial infection,duration of foley catheterand duration,and use of central venous were the influencing factors of surgical site infection after surgery.Conclusion:There are many risk factors for surgical site infection.After surgery,relevant diagnosis and treatment measures should be formulated and adjusted according to the specific factors of patients,so as to reduce the incidence of postoperative surgical site infection,shorten hospital stay,and ensure patient health.

关 键 词：手术部位感染 感染控制 肿瘤医院 

分 类 号：R197.323[医药卫生—卫生事业管理]