骨科患者手术植入物感染的相关因素分析与预防

发布时间：2018-10-13 10:23

【摘要】：目的探讨骨科患者手术植入物感染的相关因素分析与预防,为临床预防及治疗提供有效手段。方法选取2014年9月-2016年7月于医院骨科收治行骨科人工物体植入手术的患者2 668例,对骨科患者手术植入物感染的发生率及相关因素进行分析,对感染患者的病原菌分布进行分析。结果 2 668例骨科人工物体植入手术患者中发生手术植入物感染51例,感染率为1.91%;51例手术植入物感染患者标本中共检出病原菌43株,检出率为84.31%,其中革兰阴性菌26株占60.47%,革兰阳性菌17株占39.53%;Logistic多元回归分析结果显示,年龄、合并糖尿病、手术室条件、手术时机、未预防性使用抗菌药物是发生感染的独立危险因素(P0.05)。结论骨科患者手术植入物感染临床表现多样,革兰阴性菌及革兰阳性菌均为常见病原菌,临床治疗时应重点关注危险因素。
[Abstract]:Objective to explore the related factors of surgical implants infection in orthopedic patients and to provide effective methods for clinical prevention and treatment. Methods from September 2014 to July 2016, 2 668 patients undergoing orthopedic implant surgery in orthopedic department were selected, and the incidence and related factors of implant infection in orthopedic patients were analyzed. The distribution of pathogenic bacteria in infected patients was analyzed. Results among the 2 668 cases of orthopedic artificial object implantation, 51 cases were infected with surgical implants, and the infection rate was 1.91%. 43 strains of pathogenic bacteria were detected in 51 cases of surgical implants infection. The detection rate was 84.31, of which 26 Gram-negative bacteria accounted for 60.47 and 17 Gram-positive bacteria accounted for 39.53. The results of Logistic multiple regression analysis showed that age, diabetes mellitus, operating room conditions, operation timing, and the time of operation. No prophylactic use of antibiotics was an independent risk factor for infection (P0.05). Conclusion the clinical manifestations of surgical implants infection in orthopedic patients are diverse. Gram-negative bacteria and Gram-positive bacteria are the common pathogens. The risk factors should be paid more attention to in the treatment of orthopedic patients.
【作者单位】：温州医科大学附属第二医院骨科;
【基金】：温州市科技局计划基金资助项目(Y20130024)
【分类号】：R687.3

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