摘要
Abstract
Objective To evaluate risk factors for surgical site infections (SSIs) after appendectomy, and provide reference for developing infection control strategies. Methods Data of 512 patients who received appendectomy between August 2010 and December 2011 were reviewed and analyzed. Results Forty-two of 512 patients developed SSIs, infection rate was 8. 20%, all were superficial incisional SSIs. Univariate analysis showed that SSIs-related factors were patients' age, subcutaneous tissue thickness, diabetes, types of anesthesia, duration of surgery, season of surgery, types of incision, pathology of appendix (all P<0. 05). Multivariate Logistic regression analysis showed that the risk factors for SSIs were types of incision(OR 95%CI, 2. 75 - 67. 45), subcutaneous tissue thick-ness(OR 95%CI, 4. 54 - 45. 81), diabetes(OR 95 %CI, 5. 13 - 29. 91), types of anesthesia (OR 95%CI, 1. 79 -53. 28), duration of surgery(OR 95%CI, 8. 10 - 78. 63), and pathology of appendix (OR 95%CI: 5. 51 - 54. 74) (all P<0. 05). Conclusion Infection of SSIs should be intensified according to risk factors, so as to prevent the occurrence of SSIs after appendectomy.关键词
阑尾切除术/手术部位感染/切口感染/医院感染/危险因素Key words
appendectomy/ surgical site infection/ incisional wound infection/ healthcare-associated infection/ risk factor分类
医药卫生
