A型主动脉夹层手术后医院感染分析.pdf

2242 2011 21 11 Chin J osocomiol Vol.21 o. 11 2011 A 1 1 1 2 1 尚蔚 , 刘楠 , 闫晓蕾 , 孙立忠, 贾士杰 ( 1. 2. , 100029) : Stanford A 2009 2- 2010 10 A A 252 ,( 47.31 10. 63) , 193, 59; 32, 12.7%;76 , 49,64. 5%, 18 , 23. 7%, 9 , 11. 8% ; 9 , 28. 1%,7 ,3. 2%, ( P 0. 01) ; , A ,, : ; A ; ; + : R181. 3 2 : A :2011) Nosocomial infection after Type A aortic dissection surgery SHA G Wei, LIU an, YA Xiaolei, SU Lizhong, JIA Shijie (Beij ing A nz hen H osp ital, Cap ital Medical University, Beij ing 100029, China) Abstract: OBJECTIVE T o analyze nosocomial infection condition and determine risk factors after type A Aortic Dissection Surgery.METHO S Clinical data of the patients who underwent type A aortic dissection surgery from Feb 2009 to Oct 2010 were collected. RESULTS The average age was ( 47. 31 10. 63) years; 193 patients (76. 6%) were male. Incidence of nosocomial infection was 12. 7% in all 252 cases. A total of 76 strains were isolated in which gram negative bacteria accounted for 64. 5%, gram positive bacteria for 23. 7% and fungi for 11.8%. The hospital mortality was much higher among patients with nosocomial infection than in patients without nosocomial infection ( 28. 1% vs 3. 2%, P 0. 001) . Logistic regression analysis indicated postoperative tracheostomy, dialysisdependent renal failure and stoke were the risk factors for nosocomial infection. CONCLUSION The nosocomial infection is one of the risk factors for in hospital mortality in patients after type A aortic dissection surgery. Postoperative tracheostomy, dialysisdependent renal failure and stroke are the independent risk factors for