摘要
目的分析腰椎管狭窄症术后感染的危险因素,为临床合理使用抗菌药物和控制医院感染提供科学依据。方法采用前瞻性监测和回顾性调查相结合的方法,对2009年1月-2010年12月入住骨科的206例腰椎管狭窄症患者临床资料进行统计分析。结果腰椎管狭窄症术后感染发生率为3.4%,其中上呼吸道感染占42.9%,肺部感染占57.1%,伴有伤口局部感染占42.9%;病原菌以革兰阴性菌为主,占57.1%,其次是革兰阳性菌,占42.9%,且对多种抗菌药物有不同程度的耐药性。结论认真施行无菌操作,严格掌握手术适应证,熟练进行手术操作,尽可能缩短手术时间,加强环境管理和感染监控,合理使用抗菌药物,积极治疗基础疾病,对降低腰椎管狭窄症术后感染具有重要意义。
OBJECTIVE To analyze the risk factors of postoperative infection in the lumbar spinal stenosis, to provide the scientific bases for clinical reasonable use of antiseptic medcine and controlling hospital infection. METHODS A prospective study combining with retrospective investigation method were carried out. The clinical data of 206 patients with lumbar spinal stenosis were analyzed at orthopaedic department from Jan 2009 to Dec 2010. RESULTS Lumbar spinal stenosis postoperative infection rate was 3.40%. And respiratory infections rate was 42. 9%, and pulmonary infections rate was 57. 1%, complicated wound local infection rate accounted for 42.9%. Pathogens mostly were Gram-negative bacteria, accounting for 57. 1%, followed by Gram-positive bacteria, accounting for 42.9%, and some degree of antibiotic resistance existed. CONCLUSION Strictly abiding by sterile rules, mastering operational indication, improving relative skill, shorting operation time, strengthening environmental management and infection monitoring, the correctly use of antibiotic medicine, actively treating underlying diseases have great significance for reducing postoperative infection rate of lumbar spinal stenosis.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第14期2906-2908,共3页
Chinese Journal of Nosocomiology
关键词
腰椎管狭窄症
术后感染
危险因素
医院感染
抗菌药物
Lumbar spinal stenosis
Postoperative infection
Risk factors
Nosocomial infection
Antibiotic
