开胸患者术后胸腔闭式引流管相关性感染调查

发布时间：2018-11-15 10:05

【摘要】：目的调查开胸患者术后胸腔闭式引流管相关性感染状况,为预防及降低引流管相关感染提供参考。方法选取2013年1月-2015年12月在医院开胸手术后行胸腔闭式引流的患者120例,调查患者引流管相关性感染发生及可能引起感染发生的相关因素。结果 120例开胸手术患者术后发生引流管相关性感染28例,感染率23.34%,其中以引流管病原菌定植感染为主;培养出病原菌24株,分别为铜绿假单胞菌9株、肺炎克雷伯菌5株、金黄色葡萄球菌4株、溶血性葡萄球菌3株、表皮葡萄球菌2株、鲍氏不动杆菌1株,分别占37.50%、20.83%、16.67%、12.50%、8.33%、4.17%;年龄≥60岁、引流管留置时间、引流管个数、引流管护理次数为患者发生感染的相关因素。结论开胸患者术后胸腔闭式引流管相关性感染以引流管病原菌定植多见,创口及组织感染相对较少,铜绿假单胞菌是主要感染病原菌,患者年龄、引流管个数及留置时间、护理状况与感染的发生有密切关系。
[Abstract]:Objective to investigate the status of thoracic closed drainage tube associated infection after thoracotomy, and to provide reference for prevention and reduction of drainage tube associated infection. Methods from January 2013 to December 2015, 120 patients who underwent thoracic closed drainage after open chest surgery in hospital were selected to investigate the incidence of drainage tube associated infection and the related factors that may cause the infection. Results there were 28 cases of drainage tube associated infection in 120 cases of thoracotomy, the infection rate was 23.34%. 24 strains of pathogenic bacteria were isolated, including 9 Pseudomonas aeruginosa, 5 Klebsiella pneumoniae, 4 Staphylococcus aureus, 3 Staphylococcus haemolyticus, 2 Staphylococcus epidermidis and 1 Acinetobacter baumannii, respectively. 20.83, 16.67, 12.50 and 8.33, about 4.17; Age 鈮，

本文编号：2332985