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

发布时间：2018-04-19 14:10

本文选题：妇科 + 肿瘤　；参考：《中华医院感染学杂志》2017年23期

【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。
[Abstract]:Objective to investigate and analyze the related factors of urinary tract infection and the distribution of pathogenic bacteria in gynecological tumor patients.Methods from January 2014 to December 2016, 150 patients undergoing gynecological tumor surgery in hospital were selected as the study subjects. The age, operation mode, operation duration, diabetes mellitus and antibiotics were used respectively.Related factors such as indwelling catheter, length of stay in hospital, distribution of pathogenic bacteria and drug resistance were analyzed thoroughly.Results there were 28 cases of urinary tract infection in 150 cases of gynecological tumor operation. The infection rate was 18.6767%. 34 strains of pathogenic bacteria were detected in 28 cases of gynecologic tumor operation. Gram-negative bacteria were the main pathogens, and 24 strains accounted for 70.59C logistic regression analysis.The main Gram-negative bacteria showed high resistance to cefoperazone, cefotaxime and piperacillin.The drug resistance rates were more than 50.Conclusion attention should be paid to the independent risk factors of urinary tract infection in patients undergoing gynecological tumor surgery. Gram-negative bacteria are the main pathogens, and antibiotics should be used scientifically according to the specific drug resistance.
【作者单位】：温州医科大学附属第二医院妇科病区;
【分类号】：R691.3;R737.3

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