腹部手术后手术部位感染:从横截面研究中的分布和决定因素
Gowthaam Ramesh1, Manivannan Rj1, Jaykanthan N1
1General Surgery, Sree Balaji Medical College and Hospital, Chennai, IND.
Cureus
|September 29, 2025
概括
在腹部手术后手术部位感染 (SSIs) 是常见的,特别是在糖尿病患者或更长时间住院的患者中. 实施感染控制策略和微创手术可以降低这些高发病率.
科学领域:
- 医学研究 医学研究
- 传染性疾病 传染性疾病
- 外科手术的结果
背景情况:
- 手术部位感染 (SSI) 是术后并发症的主要原因,特别是在腹部手术后.
- 在全球范围内,高SSI率仍然存在,特别是在印度等低收入和中等收入国家,增加了病率和医疗保健成本.
研究的目的:
- 为了确定腹部手术后的SSI的发生率和模式.
- 为了确定与SSI相关的关键风险因素,在印度奈的一家三级医院的患者中.
主要方法:
- 一项为期18个月的横截面研究,涉及70名接受腹部手术的患者.
- 数据收集包括人口,临床,外科和微生物学参数;临床诊断和通过培养确认的SSI.
- 统计分析使用了描述性统计,奇平方测试和后勤回归.
主要成果:
- 整体SSI发生率为22.9% (16/70名患者).
- 在糖尿病患者 (31.4%),长时间的手术前停留和开放手术 (31%) 中观察到更高的SSI率.
- 对SSI的独立预测因素包括长时间的手术,脏的伤口分类,延长的手术前停留和糖尿病;大肠杆菌和黄金杆菌是常见的病原体.
结论:
- 多种相互关联且往往可以预防的因素在腹部手术后导致SSI.
- 有针对性的策略,如识别高风险患者,使用预防性抗生素,采用微创技术和保持无菌实践至关重要.
- 调查结果强调了在印度手术环境中需要加强感染控制和抗菌药物管理.
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