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目的:探讨泌尿外科术后院内感染具体情况。方法:选取2013年10月-2015年2月我院泌尿外科手术治疗的患者83例,对所有的患者进行回顾性分析,观察患者发生院内感染的几率情况、发生感染的部位、致病菌情况和院内感染发生的主要原因。结果:经过研究后发现,83例患者17例发生院内感染情况,院内感染发生的几率为20.48%。在17例患者中,4例发生尿道感染情况,所占的比例为4.82%;6例发生手术切口感染情况,所占的比例为7.23%;5例发生胃肠道感染情况,所占的比例为6.02%;2例发生其他情况感染,所占的比例为2.41%。致病菌主要为大肠埃希菌感染、真菌感染、克雷伯杆菌感染、阴沟肠杆菌感染。在发生院内感染原因方面主要有留置尿管、免疫抑制剂的使用、尿潴留情况的发生和其他原因。结论:泌尿外科发生院内感染的情况极为常见的一种情况,因此在临床中医生需要对上述情况进行严密的观察。
Objective: To investigate the specific situation of nosocomial infection after urological surgery. Methods: Totally 83 patients undergoing urological surgery in our hospital from October 2013 to February 2015 were retrospectively analyzed. The incidence of nosocomial infections, the location of infection and the pathogens were observed And the main reason for nosocomial infections. Results: After the study found that 17 cases of 83 cases of nosocomial infections, the incidence of nosocomial infections was 20.48%. In 17 patients, 4 cases of urethral infection, the proportion was 4.82%; 6 cases of surgical incision infection, the proportion was 7.23%; 5 cases of gastrointestinal infections, the proportion of 6.02%; 2 cases of other cases of infection, the proportion of 2.41%. Pathogenic bacteria mainly Escherichia coli infection, fungal infection, Klebsiella infection, Enterobacter cloacae infection. The main causes of nosocomial infections indwelling catheter, the use of immunosuppressive agents, urinary retention and other causes. CONCLUSIONS: The most common case of nosocomial infections in urology is the clinician’s need for close observation of these conditions.