Factors and prevention measures of postoperative infection in laryngeal cancer patients.
- Author:
Hongxia SUN
- Publication Type:Journal Article
- MeSH:
Female;
Humans;
Infection;
etiology;
Infection Control;
Laryngeal Neoplasms;
radiotherapy;
surgery;
Male;
Postoperative Care;
Postoperative Complications;
prevention & control;
Tracheostomy
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2014;28(21):1645-1647
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the factors of postoperative infection in patients with laryngeal cancer,and propose preventive measures,to provide a theoretical basis for the control of hospital infection.
METHOD:Here we conducted an epidemiological study of 259 patients undergoing surgery in our hospital laryngeal surgery, and analyzed the influencing factors of postoperative infection.
RESULT:Among 259 patients, 18 cases (6.95%) patients had postoperative infection; multifactor by Logistic regression analysis showed that there was a correlation about patients postoperative infection was associated with age (OR = 20.694, P < 0.05), preoperative radiotherapy (OR = 19.719, P < 0.05), hospitalization (OR = 10.679, P < 0.05 ), operative time (OR = 14.387, P < 0.05), type of surgery (OR = 4.771, P < 0.05), tracheostomy (OR = 55.795, P < 0.05), antibiotic use (OR = 12. 486, P < 0.05) and postoperative nutritional support (OR = 7.928, P < 0.05).
CONCLUSION:Strict implementation of the treatment of laryngeal surgery aseptic,shorter hospital stay and operative time, strengthen the operating room disinfection, perioperative, and postoperative care of patients with nutrition, rational use of antibiotics,planned radiotherapy for advanced tumor, are the key measure to reduce postoperative infection rate of laryngeal.