Risk factors and preventive measures of nosocomial infections after laparoscopic radical gastrectomy
10.3760/cma.j.issn.1672-7088.2019.19.005
- VernacularTitle: 腹腔镜下胃癌根治术后患者医院感染的危险因素分析与预防对策
- Author:
Ying LIU
1
Author Information
1. Hospital Infection Management Department, Nanyang Nanshi Hospital, Henan Province, Nanyang 473000, China
- Publication Type:Clinical Trail
- Keywords:
Radical gastrectomy;
Laparoscopy;
Nosocomial infection;
Risk factors;
Perioperative care
- From:
Chinese Journal of Practical Nursing
2019;35(19):1462-1466
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the risk factors of nosocomial infection after laparoscopic radical gastrectomy for gastric cancer in our hospital, and to explore the preventive measures.
Methods:A total of 349 patients with gastric cancer who underwent laparoscopic radical gastrectomy in our hospital from April 2015 to January 2018 were selected. The incidence of nosocomial infection was observed and recorded. Pathogenic bacteria were collected and identified. The sex, age, pathological type, gastric cancer stage, preoperative hospitalization time, operation time, invasive operation, diabetes history, smoking history, drinking history and other indicators were analyzed to analyze the risk factors of infection.
Results:There were 40 cases of nosocomial infection after operation in 349 cases, the infection rate was 11.5%, lung infection was the main cause, accounting for 55%, followed by abdominal infection, accounting for 30%.Forty-seven pathogenic bacteria were isolated and cultured from 40 infected patients, among which 29 were Gram-negative bacteria and 18 were Gram-positive bacteria. The main Gram-negative bacteria were Pseudomonas aeruginosa (31.9%) and Klebsiella pneumoniae (19.1%). Gram-positive bacteria were Staphylococcus aureus (19.1%) and Streptococcus hemolyticus (12.8%). Univariate analysis showed that age, gastric cancer stage, operation time, history of diabetes mellitus, smoking history and other factors were the influencing factors of postoperative nosocomial infection, the difference was statistically significant (P<0.05). Multivariate logistic regression analysis showed that age ≥65 years, gastric cancer stage ≥ Ⅲ, operation time ≥3 hours, history of diabetes mellitus and smoking were independent risk factors for postoperative nosocomial infection (P<0.05).
Conclusions:Nosocomial infection in patients after laparoscopic radical gastrectomy could not be ignored. Perioperative nursing and preventive measures can reduce the incidence of infection and promote the recovery of patients.
