论文部分内容阅读
目的探讨前列腺穿刺术感染并发症发生和预防。方法调阅2012年8月10日至2015年8月10日本院前列腺穿刺活检患者481例临床资料,统计前列腺穿刺术后发热、抗生素使用及患者预后情况;并同国内外某些同级医院前列腺穿刺术后感染发生率比较。结果穿刺后感染26例,占总例数5.4%。9例发生菌血症,占总例数1.87%,其中7例血培养革兰阴性菌,2例血培养肺炎克雷伯菌。3例发生感染性休克,其中1例感染性休克伴有心肺骤停,占总例数0.208%。结论前列腺穿刺存在感染风险。严格掌握穿刺适应证,加强穿刺术中无菌操作,穿刺前后适当使用抗生素有助于降低感染发生率。对严重感染患者及时升级抗生素控制感染,以避免严重并发症发生。
Objective To investigate the occurrence and prevention of complication of prostate puncture infection. Methods The clinical data of 481 patients with prostate biopsy in our hospital from August 10, 2012 to August 10, 2015 were retrospectively analyzed. The incidence of fever, antibiotic use and prognosis of patients after prostate biopsy were statistically analyzed. With the same period, The incidence of infection after puncture compared. Results 26 cases of puncture infection, accounting for 5.4% of the total number of cases. 9 cases of bacteremia, accounting for 1.87% of the total number of cases, of which 7 cases of blood cultures of Gram-negative bacteria, 2 cases of blood cultures of Klebsiella pneumoniae. Septic shock occurred in 3 cases, of which 1 case of septic shock accompanied by cardiopulmonary arrest, the total number of cases 0.208%. Conclusion Prostate puncture infection risk. Strictly grasp the indications of punctures, strengthen the sterile operation during puncture, appropriate use of antibiotics before and after puncture helps to reduce the incidence of infection. Serious infection in patients with timely upgrades of antibiotics to control infection in order to avoid serious complications.