Risk factors for postoperative healthcare-associated infection in patients undergoing oral and maxillofacial malignant tumor surgery
10.3969/j.issn.1671-9638.2014.12.008
- VernacularTitle:口腔颌面恶性肿瘤患者术后医院感染及危险因素分析
- Author:
Hong YU
;
Ping LI
;
Hong RUAN
- Publication Type:Journal Article
- Keywords:
oral;
malignant tumor;
healthcare-associated infection;
prevalence rate;
pathogen;
risk factor
- From:
Chinese Journal of Infection Control
2014;(12):730-732,738
- CountryChina
- Language:Chinese
-
Abstract:
Objective To realize the risk factors for postoperative healthcare-associated infection (HAI)in pa-tients undergoing oral and maxillofacial malignant tumor surgery,so as to take effective intervention measures and reduce the occurrence of HAI.Methods Prospective and retrospective survey were adopted to analyze the occur-rence of HAI and related risk factors for postoperative HAI in patients undergoing oral and maxillofacial malignant tumor surgery in 2013.Results Of 432 patients,58 developed 63 times of HAI,HAI rate was 13.43%,case infec-tion rate was 14.58%.The main infection sites were lower respiratory tract (57.14%)and surgical site (38.09%). 56 pathogenic strains were isolated,the major were Pseudomonas aeruginosa (46.43%),followed by Acinetobacter baumannii and Klebsiella pneumonia .Univariate analysis revealed that tracheotomy,length of hospital stay,opera-tive time,intraoperative antimicrobial use were risk factors for HAI in patients undergoing oral and maxillofacial malignant tumor surgery(all P <0.05).Conclusion The important measures for reducing HAI in patients undergo-ing oral and maxillofacial malignant tumor surgery are shortening the duration of surgery and length of hospital stay, taking active intervention,implementing hand hygiene,and using antimicrobial agents rationally.
