Pathogens and risk factors for hospital-associated infections in laryngeal cancer patients undergoing tracheotomy
10.11816/cn.ni.2025-250986
- VernacularTitle:喉癌气管切开患者医院感染病原菌及危险因素
- Author:
Xue BAI
1
;
Mingbo LIU
;
Jinying LIU
;
Xiaoyu YAN
;
Xiaodie AI
;
Fei NING
Author Information
1. 解放军总医院第一医学中心耳鼻咽喉头颈外科,北京 100853
- Publication Type:Journal Article
- Keywords:
Laryngeal cancer;
Tracheotomy;
Hospital-associated infection;
Risk factor;
Pathogen
- From:
Chinese Journal of Nosocomiology
2025;35(18):2770-2774
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE T o explore the distribution of pathogens and risk factors for hospital-associated infections in the laryngeal cancer patients undergoing tracheotomy so as to provide theoretical bases for reasonable clinical use of antibiotics.METHODS Totally 118 laryngeal cancer and tracheotomy patients who were complicated with infec-tions and treated in otolaryngology head and neck surgery department of The First Medical Center of Chinese PLA General Hospital from Oct.2021 to Oct.2024 were retrospectively assigned as the infection group,meanwhile,the 118 patients who were not complicated with infections were chosen as the no infection group.The distribution and drug susceptibility rates of the pathogens isolated from clinical specimens of the patients with infections were observed,and the risk factors for the hospital-associated infections were explored.RESULTS Totally 168 strains of pathogens were isolated from the 118 patients with infections,107 of which were gram-negative bacteria,51 were gram-positive bacteria,and 10 were fungi.The result of multivariate logistic regression analysis showed that age(OR=2.435,95％CI:1.052 to 5.634),duration of tracheotomy(OR=3.525,95％CI:1.871 to 14.259),length of hospital stay(OR=2.829,95％CI:1.099 to 7.276)and complication with diabetes mellitus(OR=4.807,95％CI:1.704 to 13.557)were the risk factors for the hospital-associated infections in the laryngeal cancer pa-tients undergoing tracheotomy(P＜0.05).CONCLUSIONS The gram-negative bacteria are dominant among the pathogens isolated from the laryngeal cancer and tracheotomy patients with hospital-associated infections.The age,duration of tracheotomy,length of hospital stay and complication with diabetes mellitus are the risk factors for the hospital-associated infections in the laryngeal cancer patients undergoing tracheotomy.It is necessary to formulate the prevention and control measures based on the above factors so as to reduce the incidence of infec-tions.
