63 cases of liver surgical site infection related factors analysis
10.3969/j.issn.1671-8348.2015.06.020
- VernacularTitle:63例肝胆手术部位感染相关因素分析
- Author:
Xiaochun WU
;
Yan CHENG
;
Zhangmei HOU
;
Wei YANG
- Publication Type:Journal Article
- Keywords:
infection;
risk factors;
liver and gallbladder surgery;
surgical site;
monitoring
- From:
Chongqing Medicine
2015;(6):775-776,779
- CountryChina
- Language:Chinese
-
Abstract:
Objective To liver surgical site infection related influencing factors were discussed.Methods Retrospective analysis the clinical data of A total of 1 187 patients with liver and gallbladder surgery,using SPSS12.0 software for statistical analysis of data.Results A total of 1 187 cases of liver and gallbladder surgery patients and 63 cases of surgical site infection occurred,the in-fection rate of 5.31%,including incision shallow tissue 51 cases,8 incision deep tissue,organ lacuna in 4 cases,accounted for 80.95%,12.70% and 6.35% respectively.Isolated pathogenic bacteria distribution and composition ratios were as follow,15 strains of gram-negative bacteria(55.56%),12 gram positive bacteria strains(44.44%),including gram-negative bacteria in e.coli, gram-positive bacterium with staphylococcus aureus detection most(25.93% and 14.81% respectively),not isolated fungus;Age, presence of diabetes mellitus,drainage time,postoperative complications,operation time and open operation for independent risk fac-tors for surgical site infection (P <0.05).Conclusion Liver and gallbladder surgery in patients with surgical site infection is asso-ciated with a variety of factors,should strengthen the preoperative patients with postoperative condition evaluation,improve the lev-el of operation at the same time,thereby reducing surgical site infection.