泌尿外科感染与手术切口感染相关性分析及护理

  本文关键词：泌尿外科感染与手术切口感染相关性分析及护理，由笔耕文化传播整理发布。

泌尿外科感染与手术切口感染相关性分析及护理

Analysis of the Correlation Between Urinary Tract Infection and Urological Surgical Site Infections and the Nursing Care

[1]

ZHU Fengqin Department of Urology Surgery, The First Clinical Medical College of China Three Gorges University o Hubei Yichang Central People＇s Hospital, Yichang, Hubei Provinc

三峡大学第一临床医学院·湖北省宜昌市中心人民医院泌尿外科,湖北宜昌443003

文章摘要：目的对泌尿外科感染与手术切口感染的相关性进行分析，，并探讨其护理特点。方法选取在该院行泌尿外科手术患者135例作为研究对象，回顾性分析所有对象的泌尿系感染情况及手术切口感染情况。结果术后手术部位感染发生率为12．59％（17／135），共分离病原菌679株。其中以金黄色葡萄球菌（18．41％）和大肠埃希菌（14．73％）为主。手术部位发生感染的患者皮下组织采样病原菌检出率高于手术部位未发生感染的患者；手术切口病原菌耐药率高于未发生感染的病原菌耐药率；发生切口感染的患者术前泌尿系统感染发生率高于未发生切口感染的患者。在这些手术切VI发生感染的患者中，有10例患者并发泌尿系感染，其中8例患者分离的病原菌为葡萄球菌属。结论患者术前泌尿系感染是手术切口发生感染的一项重要原因，因此应术前对泌尿系感染患者进行相应护理是降低术后切口感染的重要举措。

Abstr：Objective To analyze the correlation between urinary tract infection and urological surgical site infections and discuss the features of the related nursing care. Methods A total of 135 patients who underwent urological operations in our hospital were enrolled into this study. The pathogens of urinary tract infection and urological surgical site infections were analyzed retrospective- ly. Results The surgical site infection rate after the surgery was 12.59% （17/135）. A total of 679 strains of pathogens were isolated. The main species of pathogens were Staphylococcus aureus （18.41%） and Escherichia coli （14.73%）. The isolation rate of the pathogens sampled from subcutaneous tissue of the patients with infections were higher than that of the patients without infections. The drug resistance rate of the pathogens causing surgical incision infections was higher than that of the pathogens which did not cause infections. The incidence of the preoperative urinary tract infections was higher in the patients with surgical incision infec- tions than that in the patients without surgical incision infections. There were 10 patients of surgical incision infections complicated by urinary system infections, and the pathogens isolated from 8 patients oil whom were Staphylococci. Conclusion The preoperative urinary tract infection is a vital cause for the surgical incision infection. Therefore it is essential to perform the nursing care in or- der to reduce the incidence of the postoperative incision infections.

文章关键词：

Keyword：:Incision infection Nursing Pathogens

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  本文关键词：泌尿外科感染与手术切口感染相关性分析及护理，由笔耕文化传播整理发布。