摘要
目的探讨普外科腹腔镜手术术后切口感染病原菌特点及危险因素。方法选取2015年1月至2020年12月在安吉县第三人民医院普外科行腹腔镜手术治疗的患者380例,观察患者术后切口感染率、病原菌分布,并分析切口感染的危险因素。结果380例腹腔镜手术患者发生切口感染15例,共培养出23株病原菌,其中以大肠埃希菌为主;多因素分析显示,年龄≥60岁、合并糖尿病、手术时间≥2h及抗菌药物应用≥7d是影响腹腔镜术后切口感染的危险因素。结论普外科腹腔镜手术术后切口感染病原菌分布广泛且影响因素较多,应加强感染风险管理体系建设,以降低切口感染的发生率。
Objective To explore the pathogens and risk factors of incision infection after laparoscopic surgery in general surgery.Methods A total of 380 patients who underwent laparoscopic surgery at the general surgery department of the Third People's Hospital of Anji from January 2015 to December 2020 were selected.The postoperative incision infection rate and pathogen distribution of patients were observed.The risk factors of incision infection were analyzed.Results 15 of 380 patients with laparoscopic surgery had incision infection.A total of 23 pathogenic bacteria were cultured,among which Escherichia coli was the main one.Multivariate analysis showed that the risk factors for incision infection after laparoscopic surgery included:age≥60 years old,complicated with diabetes mellitus,operation time≥2 hours and antibiotics application≥7days.Conclusion The pathogenic bacteria of incision infection after laparoscopic surgery in general surgery are widely distributed and there are many influencing factors.The construction of infection risk management system should be strengthened to reduce the incidence of incision infection.
作者
方斌
陈存国
曹鸿峰
FANG Bin;CHEN Cun-guo;CAO Hong-feng(The Third People's Hospital of Anji;Taizhou Hospital of Zhejiang Province;The Second Affiliated Hospital of Zhejiang University)
出处
《医院管理论坛》
2022年第2期61-64,共4页
Hospital Management Forum
关键词
普外科
腹腔镜手术
切口感染
病原菌
General surgery
Laparoscopic surgery
Incision infection
Pathogens
