摘要
目的分析妇科肿瘤患者术后泌尿系统感染的高危因素,为临床控制医院感染提供参考。方法回顾性调查医院2006年2月-2012年2月收治的妇科肿瘤并行手术患者58例,收集其临床资料。结果妇科手术后发生泌尿系统感染12例,发生率20.69%;平均年龄63.58岁,其中子宫内膜癌4例占33.3%,宫颈癌3例占25.0%,卵巢癌5例占41.7%;病原菌以大肠埃希菌为主,检出率为75.0%。结论妇科手术后泌尿系统感染主要危险因素包括年龄、癌症类型和分期、绝经、泌尿系统既往感染史、糖尿病病史、泌尿系统畸形、肾脏问题、子宫脱垂、体重指数和术前留置导尿管;控制妇科手术后泌尿系统感染高危因素可以减低感染发生率。
OBJECTIVE To determine the high risk factors associated with urinary tract infections in the tumor patients after gynecological surgery so as to provide evidence for the control of nosocomial infections. METHODS The clinical data of 58 tumor patients who underwent the gynecological surgery from Feb 2006 to Feb 2012 were retrospectively investigated. RESULTS The urinary tract infections occurred in 12 patients after the gynecological surgery with the incidence rate of 20.69%. The average age of the patients was 63.58 years old. There were 4 （33.3%） patients with endometrial cancer, 3 （25. 0% ） patients with cervical cancer,and 5 （41.7%） patients with ovarian cancer. Escherichia coli was the predominant species of pathogens with the isolation rate of 75.0%. CONCLUSION The age, the type of cancer and staging, menopause, urinary tract infection history, history of diabetes, urinary system malformation, kidney problems, uterine prolapse, body mass index, and preoperative catheterization are the major risk factors associated with the urinary tract infections after the gynecological surgery. Controlling the risk factors of urinary tract infections after the gynecological surgery can reduce the incidence of infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第2期377-379,共3页
Chinese Journal of Nosocomiology
关键词
妇科手术
尿道感染
高危因素
Gynecological surgery
Urinary tract infection
High risk factor
