Risk factors and nursing of fungai infection in patients undergoing abdomen surgical operation
10.3760/cma.j.issn.1674-2907.2011.29.015
- VernacularTitle:腹部外科手术后真菌感染的易感因素与护理
- Author:
Lin-Ying ZHANG
1
;
Xiao-Juan HOU
;
Lin LI
;
Ke-Feng DOU
Author Information
1. 第四军医大学西京医院
- Keywords:
Surgical operation;
Risk factors;
Infection;
Nursing
- From:
Chinese Journal of Modern Nursing
2011;17(29):3515-3518
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the risk factors of fungal infection in patients undergoing abdomen surgical operation and its nursing intervention measures.Methods 62 patients who developed fungal infection after abdomen surgical operation and 395 randomly selected cases who did not develop fungal infection from January 2000 to December 2010 were enrolled into the study,and their clinical data and nursing records were analyzed retrospectively and compared respectively.Causes,clinical characteristics and nursing measures of those with fungal infections were summarized.Results Totally 65 strains of fungi were isolated from 62 patients.Candida albicans is one of the major strains,accounting for 55.4％.One way analysis of variance and Logistic regression revealed that the high risk factors of fungal infection mainly included:age,hospital stay,long-term broad-spectrum antibiotics use, corticosteroids use, neutropenia, and invasive treatments.Conclusions Fungal infection is an important complication of patients undergoing abdomen surgical operation.It may do great harm to patients' prognosis and recovery.Carefully observing disease development,enhancing and strengthening patients' resistance,rationally using antibiotics,reducing the invasive procedures,shortening retention time of catheters,reinforcing basic care,keeping wards clean and strengthening the concept of asepsis are effective nursing measures for preventing patients from fungal infection.
