口腔种植手术医院感染隐患分析

发布时间：2018-03-01 03:14

本文关键词： 口腔种植控制感染预防隐患　出处：《中华医院感染学杂志》2014年13期 　论文类型：期刊论文

【摘要】：目的对口腔种植术过程中及术后护理中的感染进行分析,以提高手术成功率。方法抽取2009年5月-2013年5月经实施过口腔种植术并发生感染的患者67例作为试验组,同期再抽取67名未行口腔种植术的健康者作为对照组;分析试验组的感染类型,并通过细菌的采样与培养,利用美国ATB全自动细菌鉴定测试仪对试验组和对照组的细菌检出率进行测定,以探讨手术室及医院可能发生感染的隐患。结果 67例感染患者中手术伤口感染40例占59.7%,上呼吸道感染27例占40.3%;试验组厌氧菌检出率56.7%,健康组中同种自然牙厌氧菌检出率23.9%,两组结果差异有统计学意义(P0.01)。结论以厌氧菌为主的细菌更易感染种植的义齿,对口腔种植手术室的环境及器械应采取严格消毒灭菌的措施,医护人员的技能和素质也应得到加强,积极预防和控制感染是种植术能够成功的保障。
[Abstract]:Objective to analyze the infection in the course of oral implant operation and the nursing care after operation in order to improve the success rate of operation. Methods 67 cases of oral implant operation and infection from May 2009 to 2013 were selected as experimental group. At the same time, 67 healthy subjects without oral implants were selected as control group. The infection types of the experimental group were analyzed, and the bacteria were sampled and cultured. The detection rate of bacteria in the test group and the control group was determined by using the ATB automatic bacteria identification instrument in the United States. Results among 67 cases of infection, 40 cases were infected by surgical wound, 27 cases by upper respiratory tract infection, 56.7% by anaerobic bacteria in test group, and 56.7% by anaerobes in healthy group. The positive rate of bacteria was 23. 9. The difference between the two groups was statistically significant (P 0. 01). Conclusion the bacteria with anaerobic bacteria are more likely to infect implant dentures. Strict disinfection and sterilization measures should be taken to the environment and instruments of oral implant operating room, and the skills and quality of medical staff should also be strengthened. Active prevention and control of infection is the guarantee of successful implantation.
【作者单位】：山东省胜利油田中心医院口腔科;
【基金】：教育部高等学校博士学科点专项科研基金项目(200804221080)
【分类号】：R783.6

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