骨科老年患者术后肺部感染的监测与分析

ABSTRACT: Objective To investigate the incidence and characteristics of postoperative pulmonary infection(PPI) in elderly patients with orthopaedics, and to provides reference for the prevention and treatment of nosocomial infection in orthopedics department. Methods The incidence of PPI in elderly patients with orthopaedics was monitored from January 1, 2014 to December 31, 2017 in a third-grade general hospital of chongqing, and the incidence and prevalence characteristics of PPI were analyzed.Results 2251 elderly patients with orthopaedic surgery were monitored，and 61 cases of PPI occurred. The incidence of PPI was 2.71%.The incidence of PPI in males (3.68%) was higher than that in females (2.04%), and the difference was statistically significant (P<0.05).The incidence of PPI in each age group was from low to high, which was followed by the group aged 60-69 years (2.00%), the group aged 70-79 years (2.62%), and the group aged more than 80 years (4.68%). The difference was statistically significant (P<0.05).There was no statistically significant difference in the incidence of PPI between the spine group, the trauma group and the joint group (P>0.05).A total of 113 strains of pathogenic bacteria were detected, including 20 strains (17.70%) of multi-drug resistant bacteria, and the top 3 pathogens were respectively klebsiella pneumoniae (27.43%),acinetobacter baumannii (14.16%) and candida albicans (11.50%).The mortality rate of patients with PPI(4.92%) was significantly higher than that of patients with non-pulmonary infection (2.05%),and the difference was statistically significant (P<0.05). Conclusion The incidence of PPI in elderly patients with orthopaedics is high, and preventive measures should be taken to reduce the incidence and mortality of PPI according to their characteristics. KEY WORDS: Orthopaedic surgery; Elderly patients; Pulmonary infectionring and Analysis of Postoperative Pulmonary Infection in Elderly Patients with Orthopaedics
DING Li-na, WU Xiao-ying*
(Department of Infection Control Yongchuan Hospital, Chongqing Medical University, Chongqing)
世界最新医学信息文摘 2019 年第 19 卷第 30 期
35
·论著·
骨科老年患者术后肺部感染的监测与分析
丁丽娜，吴晓英 *
（重庆医科大学附属永川医院医院医院感染控制科，重庆）
摘要：目的 了解骨科老年患者术后肺部感染的发生情况与感染特点，为预防与控制骨科医院感染提供参考。方法 监测重庆市某三级甲等综 合医院 2014 年 1 月 1 日 -2017 年 12 月 31 日骨科老年患者术后肺部感染的发生情况，分析其肺部感染发生率与流行特点。结果 监测骨科老年 手术患者 2251 例，发生术后肺部感染 61 例，术后肺部感染发生率为 2.71%；男性肺部感染发生率（3.68%）高于女性（2.04%），差异具有统 计学意义（P<0.05）；各年龄组肺部感染发生率由低到高依次为 60-69 岁组（2.00%）、70-79 岁组（2.62%）、≥ 80 岁组（4.68%），差异具 有统计学意义（P<0.05）；脊柱组、创伤组、关节组肺部感染发生率差异无统计学意义（P>0.05）。共检出病原菌 113 株，其中多重耐药菌 20 株（17.70%），前 3 位病原菌依次为肺炎克雷伯菌（27.43%）、鲍曼不动杆菌（14.16%）、白假丝酵母菌（11.50%）。术后肺部感染患者 病死率（4.92%）显著高于非肺部感染患者（2.05%），差异有统计学意义（P<0.05）。结论 骨科老年患者术后肺部感染男性高于女性，以革 兰氏阴性菌为主，细菌耐药性较高，应针对其特点积极采取预防措施，降低术后肺部感染发生率与病死率。 关键词：骨科手术；老年；肺部感染；监测 中图分类号：R256.1 文献标识码：A DOI: 10.19613/ki.1671-3141.2019.30.016 本文引用格式：丁丽娜 , 吴晓英 . 骨科老年患者术后肺部感染的监测与分析 [J]. 世界最新医学信息文摘 ,2019,19(30):35-36.