先天性耳前瘘管术后医院感染的影响因素分析

发布时间：2018-08-14 14:34

【摘要】：目的探讨先天性耳前瘘管术后医院感染的影响因素,为预防与控制医院感染提供临床依据。方法选择2012年3月-2013年3月医院收治的126例先天性耳前瘘管患者作为研究对象设为观察组,统计该类患者术后医院感染的发生情况,另选同期耳科手术患者125例作为对照组;对性别、年龄、感染部位、病原菌种类、手术时间、住院时间、抗菌药物的使用等可能导致医院感染的因素进行多因素logistic分析。结果 126例先天性耳前瘘管患者经手术后感染率男性为5.06%,女性为4.26%,男性与女性感染率比较差异无统计学意义;感染部位中呼吸道、泌尿系统、消化道感染分别占33.3%、16.7%、33.3%;多因素logistic回归分析结果显示,手术时间≥30min(β=1.444,OR=3.452)、使用抗菌药物(β=1.058,OR=3.074)、住院时间≥7d(β=1.116,OR=2.119)、感染部位(β=1.129,OR=1.751)是先天性耳前瘘管术后医院感染的独立危险因素。结论治疗先天性耳前瘘管的同时,应严格控制耳鼻喉外科术后感染的影响因素、执行无菌操作、充分做好术前准备、缩短手术与住院时间、正确使用抗菌药物,减少术后医院感染的发生。
[Abstract]:Objective to investigate the influencing factors of nosocomial infection after congenital preauricular fistula and to provide clinical basis for prevention and control of nosocomial infection. Methods 126 patients with congenital preauricular fistula treated in our hospital from March 2012 to March 2013 were selected as the observation group. Multivariate logistic analysis was carried out on sex, age, site of infection, type of pathogens, time of operation, length of stay, use of antibiotics and other factors that may lead to nosocomial infection. Results the infection rate of 126 patients with congenital preauricular fistula after operation was 5.06 in male and 4.26 in female. There was no significant difference in infection rate between male and female. The results of multivariate logistic regression analysis showed that the operation time 鈮，

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