妇科肿瘤手术患者泌尿系感染病原菌分布及相关因素分析.docVIP

妇科肿瘤手术患者泌尿系感染病原菌分布及相关因素分析 郑芝 李小萍 淮丽 金小青 赵宇 胡越 王丽芳 姚招男 温州医科大学附属第二医院妇科病区 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 探讨和分析妇科肿瘤手术患者泌尿系感染的相关因素及病原菌分布情况。方法 选取2014年1月-2016年12月期间于医院进行妇科肿瘤手术的150例患者为研究对象, 并分别对妇科肿瘤手术患者的年龄、手术方式、手术持续时间、合并糖尿病、应用抗菌药物、留置导尿管、住院时间等相关因素以及病原菌分布和耐药等情况予以全面深入的统计和分析。结果 150例妇科肿瘤手术患者中发生泌尿系感染28例, 感染率为18.67%;28例妇科肿瘤手术泌尿系感染患者中共检出病原菌34株, 以革兰阴性菌为主, 共24株占70.59%;Logistic回归分析结果显示, 手术方式、应用抗菌药物及留置导尿管是妇科肿瘤手术患者泌尿系感染的独立危险因素 (P0.05) ;主要革兰阴性菌对头孢哌酮、头孢噻肟、哌拉西林均表现出较高的耐药性, 耐药率均≥50%。结论应注意引起妇科肿瘤手术患者泌尿系感染的发生的独立危险因素, 病原菌主要以革兰阴性菌分布为主, 临床上应根据具体耐药情况科学使用抗菌药物。 关键词： 妇科; 肿瘤; 泌尿系感染; 危险因素; 病原菌分布; 收稿日期：2017-07-11 Distribution of pathogens and risk factors in urinary tract infections of the patients with gynecological tumor surgery ZHENG Zhi LI Xiao-ping HUAI Li JIN Xiao-qing ZHAO Yu HU Yue WANG Li-fang YAO Zhao-nan The Second Affiliated Hospital of Wenzhou Medical University; Abstract： OBJECTIVE To probe into risk factors and distribution of pathogens in urinary tract infections of the patients with gynecological tumor surgery.METHODS A total of 150 patients with gynecological tumor surgery in the hospital from Jan.2014 to Dec.2016 were selected as the clinical study objects.The related factors, including age, surgical methods, duration of operation, diabetes mellitus, application of antibiotics, indwelling catheters, hospitalization time, as well as the distribution of pathogens and drug resistance, were counted and analyzed in detail.RESULTS There were 28 cases with urinary tract infections in 150 patients with gynecological tumor surgery, and the infection rate was 18.67%.Totally 34 strains of pathogens were detected from 28 cases of gynecological tumor surgery patients with urinary tract infections, which were mainly 24 strains of gram-negative bacteria, accounting for 70.59%.Logistic regression analysis showed that the surgical modes, application of antibiotics and the indwelling catheter were independent risk factors of urinary tract i