Postoperative healthcare-associated infection and its risk factors in pa-tients with hepatobiliary malignant tumor
10.3969/j.issn.1671-9638.2016.07.011
- VernacularTitle:肝胆系统恶性肿瘤患者术后医院感染及其危险因素
- Author:
Xiujun LI
;
Jianwen QIAO
;
Yonghui BI
;
Jianli GENG
;
Wenxiao LI
;
Liang BAI
- Publication Type:Journal Article
- Keywords:
hepatobiliary tumor;
healthcare-associated infection;
postoperation;
risk factor
- From:
Chinese Journal of Infection Control
2016;15(7):488-491
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the occurrence of postoperative healthcare-associated infection(HAI)in pa-tients with hepatobiliary malignant tumor,explore the related risk factors,so as to provide the basis for taking ef-fective prevention and control measures.Methods The occurrence of postoperative HAI in patients with hepatobili-ary malignant tumor in a hospital from January 2012 to December 2014 were retrospectively analyzed,risk factors for postoperative HAI were analyzed through reviewing and collecting patients’medical data.Results A total of 302 patients were investigated,42 (13.91 %)developed postoperative HAI,no multiple site infection occurred,the main infection site was deep surgical site (n=10,23.81 %),followed by lower respiratory tract (n=9,21 .43%) and digestive system (n=7,16.67%).Of 42 infection cases,38(90.48%)were sent specimens for pathogenic cul-ture,36 pathogenic strains were isolated,31 (86.11 %)of which were gram-negative bacteria,and 5 (13.89%) were gram-positive bacteria.Multivariate logistic analysis showed that operation duration≥2 hours (OR =1 .48), overweight (or obesity)(OR=1 .40),and preoperative radiotherapy (OR=2.98)were independent risk factors for postoperative HAI in patients with hepatobiliary malignant tumor (all P <0.05).Conclusion Incidence of postoper-ative HAI is high in patients with hepatobiliary malignant tumor,risk factors are long length of operation,over-weight (or obesity),and preoperative radiotherapy,effective prevention and control measures against risk factors should be taken.
