普外科腹腔镜术后切口感染病原菌与危险因素分析.pdfVIP

感染控制

普外科腹腔镜术后切口感染病原菌与危险因素

分析

Analysis of Pathogens and Risk Factors of Incision Infection after 

Laparoscopic Surgery in General Surgery

①②③

□方斌FANGBin陈存国CHENCun-guo曹鸿峰CAOHong-feng

摘要Abstract

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。

ObjectiveToexplorethepathogensandriskfactorsofincisioninfectionafterlaparoscopicsurgeryingeneralsurgery.

MethodsAtotalof380patientswhounderwentlaparoscopicsurgeryatthegeneralsurgerydepartmentoftheThirdPeoples

HospitalofAnjifromJanuary2015toDecember2020wereselected.Thepostoperativeincisioninfectionrateandpathogen

distributionofpatientswereobserved.Theriskfactorsofincisioninfectionwereanalyzed.Results15of380patientswith

laparoscopicsurgeryhadincisioninfection.Atotalof23pathogenicbacteriawerecultured,amongwhichEscherichiacoli

wasthemainone.Multivariateanalysisshowedthattheriskfactorsforincisioninfectionafterlaparoscopicsurgeryincluded:

age≥60yearsold,complicatedwithdiabetesmellitus,operationtime≥2hoursandantibioticsapplication≥7days.

ConclusionThepathogenicbacteriaofincisioninfectionafterlaparoscopicsurgeryingeneralsurgeryarewidelydistributed

andtherearemanyinfluencingfactors.Theconstructionofinfectionriskmanagementsystemshouldbestrengthenedto

reducetheincidenceofincisioninfection.

关键词 Key words：普外科Generalsurgery；腹腔镜手术Laparoscopicsurgery；切口感染Incisioninfection；

病原菌Pathogens

切口感染是普外科术后最常见的并发症，其影响因素较诱发菌