在儿童尾切除术后手术部位感染
Molla Azmeraw1, Dessie Temesgen2, Tegene Atamenta Kitaw2
1Department of Nursing, College Of Health Science, Woldia University, Woldia, Ethiopia. molla.az@wldu.edu.et.
Scientific reports
|February 21, 2025
概括
在埃塞俄比亚儿童尾切除术后的手术部位感染 (SSI) 发生在9.11%的患病率. 关键预测因素包括手术前的抗生素,发烧和手术后的排水,突出了改善手术安全的领域.
科学领域:
- 儿科手术 儿科手术
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 手术部位感染 (SSI) 是尾切除术后的重大术后并发症,导致发病率增加和医疗费用增加.
- 尾切除术后SSI的患病率在全球范围内有所不同,针对埃塞俄比亚的具体数据有限.
- 了解当地的SSI患病率和风险因素对于儿童的有针对性的预防策略至关重要.
研究的目的:
- 确定在埃塞俄比亚阿姆哈拉地区接受尾切除术的儿童中手术部位感染 (SSI) 的患病率.
- 为了确定与小儿尾切除术后SSI发展相关的显著预测因素.
主要方法:
- 进行了一项横截面研究,涉及406名接受尾切除术的儿科参与者.
- 使用标准化工具收集数据,并使用后勤回归分析数据,以确定SSI的预测因子.
- 统计学意义用P值<0.05来确定,调整后的几率比率 (AOR) 和95%置信区间 (CI).
主要成果:
- 尾切除术后手术部位感染 (SSI) 的总体患病率为9.11% (95% CI:6.67%,12.34%).
- 重要SSI预测因素包括发烧 (AOR = 2.788),手术前抗生素 (AOR = 7.3) 和手术后排水 (AOR = 6.3) 的存在.
- 确定的SSI患病率超过了国家目标,这表明公共卫生存在重大问题.
结论:
- 在埃塞俄比亚儿童中,尾切除术后SSI的流行率很高,需要有针对性的干预措施.
- 在手术前使用抗生素,发烧和术后排水是该群体中SSI的关键风险因素.
- 建议在未来进行前性研究,并加强专注于这些预测因素的手术安全协议.
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