摘要
目的 了解分析髋关节置换术后患者医院感染情况及相关危险因素,为探究预防对策提供依据.方法 采用回顾性调查分析方法,收集我院骨外科2011年1月至2013年12月行髋关节置换术312例患者的临床资料及感染监测资料,对医院感染率、感染部位分布及相关危险因素、病原菌等采用SPSS17.0统计软件包进行统计分析.结果 312例髋关节置换术患者中,术后发生医院感染13例,感染率4.17％.13例医院感染病例中,感染部位以呼吸道为主,占46.15％,其次为泌尿道、手术切口、软组织感染,分别占23.07％、15.39％、15.39％.对312例手术患者进行单因素分析比较,发现年龄＞ 60岁、合并有慢性病史、术时＞1.5h、留置尿管＞3d等对感染发生有明显影响（P＜ 0.05）.检出各类病原菌9株,以革兰氏阴性菌为主占66.67％,革兰氏阳性菌占33.33％.结论 通过了解髋关节置换术后患者发生医院感染的相关危险因素及病原菌的耐药监测,采取针对性防控,以减少医院感染,对提高医疗质量有重要的临床意义.
Objective To study the current situation of nosocomial infection and relevant risk factors in patients after hip replacement,to provide theoretical evidence for nosocomial infection prevention.Method Retrospective investigation was used to analyze nosocomial infection,distribution of infection site and relevant risk factors and pathogenic bacteria of 312 in-patients who underwent hip replacement surgery in orthopedic surgery from January 2011 to December 2013.Results 13 cases had postoperative infection in 312 patients who underwent hip replacement surgery,with the infection rate of 4.17%.The common infection site was respiratory tract （46.15%）,followed by urinary tract （23.07%）,operative incision （15.39%）and soft tissue （15.39%）.Single factor analysis showed that age over 60 years old,chronic disease history,operation time over 1.5 hours,indwelling catheter time over 3 days had obvious effects on infection （P〈0.05）.Most of the detected pathogens were gram-negative bacteria （66.67%）,followed by gram-positive bacteria （33.33%）.Conclusion It has great significance for improving healthcare＇s quality and ensuring safety to analyze drug resistance,monitor relevant risk factors of postoperative nosocomial infection and pathogens,and take scientific prevention to reduce the occurrence of nosocomial infection effectively.
出处
《国际医药卫生导报》
2015年第6期801-804,共4页
International Medicine and Health Guidance News
关键词
髋关节置换
医院感染
危险因素
预防
Hip replacement
Nosocomial infection
Risk factors
Prevention
