摘要
目的探讨玻璃体切割围术期的医院感染特点及预防治疗对策,以降低玻璃体切割围术期的感染率。方法回顾性分析2009年1月-2012年10月进行玻璃体切割术的298例患者临床资料,统计围术期感染发生率,对患者的医院感染特点及影响因素进行分析并探讨有效的预防治疗对策。结果 298例患者发生围术期医院感染14例,感染发生率为4.7%,其中呼吸道感染6例、胃肠道感染2例、感染性眼内炎2例、其他4例,分别占42.8%、14.3%、14.3%、28.6%;患者年龄≥60岁、有基础疾病、有术后并发症、住院时间≥2周以及无菌意识不合格是围手术期医院感染的影响因素,差异有统计学意义(P<0.05)。结论临床医师应了解并掌握玻璃体切割围术期的感染特点及影响因素,采取针对性地预防治疗措施,减少围术期感染的发生。
OBJECTIVE To investigate the characteristics and countermeasures of nsocomial infections during perio-perative period of vitrectomy so as to reduce the incidence of nosocomial infections during perioperative period of vitrectomy. METHODS The clinical data of 298 cases of patients who underwent vitrectomy in the hospital from Jan 2009 to Oct 2012 were retrospectively analyzed, then the incidence of the nosocomial infections during the period was statistically analyzed, the characteristics and risk factors for the nosocomial infections were observed, and prevention and treatment counter measures were formulated. RESULTS Of totally 298 patients investigated, the perioperative infections occurred in 14 cases with the infection rate of 4.7%, including 6 （42.8%） cases of respiratory tract infections, 2 （14.3%） cases of gastrointestinal tract infections, 2 （14.3%） cases of infectious endophthalmitis, and 4 （28.6%） cases of other infections. The more than 60 years of age, underlying disease, postoperative complications, length of hospitalization more than 2 weeks, and poor awareness of sterilization were the influencing factors for the nosocomial infections during the perioperative period. CONCLUSION The clinicians should understand and master the characteristics and influencing factors for the nosocomial infections during the perioperative period and take targeted prevention and treatment measures so as to reduce the incidence of nosoco-mial infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第23期5739-5741,共3页
Chinese Journal of Nosocomiology
基金
河北省唐山市科技局公关指导计划项目(10310225a)
关键词
玻璃体切割术
围术期
医院感染
影响因素
Vitrectomy
Perioperative period
Nosocomial infection
Influencing factor
