中国感染控制杂志Issue(1):35-37,3.DOI:10.3969/j.issn.1671-9638.2015.01.008
经皮肾镜碎石取石术后并发感染危险因素
Risk factors for infection following percutaneous nephrolithotomy
路璐 1李小顺 1何丽萍 1林鸣1
作者信息
- 1. 武警陕西总队医院,陕西 西安 710054
- 折叠
摘要
Abstract
Objective To explore the risk factors for infection following percutaneous nephrolithotomy(PCNL), and provide the basis for prevention of postoperative infection.Methods 96 patients who were performed PCNL in a hospital between August 2010 and August 2013 were chosen,clinical data of patients were retrospectively analyzed, the occurrence of postoperative infection,risk factors and isolated pathogens were analyzed.Results 35 patients (36.46%[35/96])developed infection following PCNL.Univariate analysis revealed that risk factors for postopera-tive infection were the size and shape of stone,duration of operation,and intraoperative perfusion (all P <0.05). 96 patients before operation and 18 patients after operation were performed bacterial culture for urine,a total of 39 strains were isolated,the main isolated pathogens was Escherichia coli (n=12),followed by Pseudomonas aerugi-nosa (n=8),Streptococcus viridans (n =5 ),Klebsiella pneumoniae (n =4)and Enterobacter cloacae (n =3 ). Conclusion Infection rate following PCNL is high,duration of operation and intraoperative perfusion should be re-duced,antimicrobial agents should be used rationally.关键词
肾结石/经皮肾镜碎石取石术/泌尿外科/并发症/危险因素/医院感染Key words
renal calculus/percutaneous nephrolithotomy/urology department/complication/risk factor/healthcare-associated infection分类
医药卫生引用本文复制引用
路璐,李小顺,何丽萍,林鸣..经皮肾镜碎石取石术后并发感染危险因素[J].中国感染控制杂志,2015,(1):35-37,3.