内镜胆道支架置入术后胆道感染的危险因素分析

发布时间：2018-04-02 05:21

本文选题：经内镜胆道支架置入术　切入点：胆道感染　出处：《中华医院感染学杂志》2015年19期

【摘要】：目的探讨内镜胆道支架置入术后胆道感染的相关因素,为预防经内镜胆道支架置入术后胆道感染提供依据。方法回顾性分析2013年2月-2015年2月收治的40例经内镜胆道支架置入术患者临床资料,对影响术后胆道感染的相关因素及常见病原菌进行统计,并对相关影响因素进行单因素和多因素logistic回归分析。结果 40例内镜胆道支架置入术患者发生胆道感染10例,感染率为25.0%;感染患者共培养出病原菌24株,其中革兰阴性菌16株占66.67%,革兰阳性菌8株占33.33%;年龄70岁、术前黄疸15d、术前有胆道感染、术前生活质量评分、每日平均引流量等是患者术后发生胆道感染的危险因素。结论了解经内镜胆道支架置入术后胆道感染的相关因素及其细菌谱,有助于合理选择有效抗菌药物和及时有效的控制感染。
[Abstract]:Objective to investigate the related factors of biliary tract infection after endoscopic biliary stent implantation. Methods the clinical data of 40 patients with endoscopic biliary stenting from February 2013 to February 2015 were retrospectively analyzed. The related factors and common pathogens of postoperative biliary tract infection were analyzed, and the related factors were analyzed by univariate and multivariate logistic regression analysis. Results there were 10 cases of biliary tract infection in 40 cases of endoscopic biliary stenting. The infection rate was 25.00.A total of 24 strains of pathogenic bacteria were cultured in the infected patients, of which 16 strains were Gram-negative bacteria (66.67) and 8 Gram-positive bacteria (33.33%). The age of 70 years old, preoperative jaundice 15 days, preoperative biliary tract infection, preoperative quality of life score, The mean daily drainage was the risk factor of biliary tract infection after operation. Conclusion to understand the related factors and bacterial spectrum of biliary tract infection after endoscopic biliary stent implantation. It is helpful for rational selection of effective antibiotics and effective control of infection in a timely and effective manner.
【作者单位】：金华市中心医院肝胆胰外科;
【基金】：浙江自然科学基金资助项目(LQZH16012)
【分类号】：R575.7

【共引文献】