中国感染控制杂志Issue(5)：317-320,4.DOI:10.3969/j.issn.1671-9638.2015.05.008
皮肤软组织扩张器置入术感染的病例对照研究
A case-control study on infection following skin and soft tissue expander implantation
付菊芳 1王丹丹 1于方方 1王悦 1刘冰 1边冬梅 1马瑛 1刘云锦 1柴艳梅2
作者信息
- 1. 第四军医大学西京医院，陕西 西安 710032
- 2. 西安电子科技大学医院，陕西 西安 710071
- 折叠
摘要
Abstract
Objective To analyze the risk factors of postoperative infection in patients with skin and soft tissue ex-pander (SSTE)implantation,and provide scientific evidence for making intervention strategies.Methods Question-naires were made,relevant data were obtained through medical record reviewing and telephone inquiry,and case-control method was used to conduct statistical analysis.Results A total of 532 patients were with SSTE implanta-tion,22 (4.14%)of whom had infection,and 14 infected patients were included in this research.Univariate logistic regression analysis indicated that there were significant difference in the number of the embedded expanders (OR=1 .58,95%CI :1 .20-2.32),the implantation site(OR =1 .75,95%CI :1 .30 -2.32),living circumstances of pa-tients(OR=1 .87,95%CI :1 .84 -2.65 ),and whether expanders were regularly disinfected(OR =2.66,95%CI :1 .76-4.32)(all P <0.05).Multivariate logistic regression analysis found that living circumstances of patients(OR=1 .55,95%CI :1 .15-2.25)and whether expanders were regularly disinfected (OR=3.66,95%CI :2.86-3.22) were two main factors entering the regression equation(both P <0.01 ).Conclusion Living circumstances of pa-tients and whether expanders are regularly disinfected are main risk factors of postoperative infection in patients with SSTE embedding.Knowledge education on preventing infection among patients and main caregivers should be strengthened,post-discharge continuous nursing system should be established.关键词
皮肤软组织扩张器/扩张器置入/感染/危险因素/单因素分析/多因素分析Key words
skin and soft tissue expander/expander implantation/infection/risk factor/univariate analysis/multivariate analysis分类
医药卫生引用本文复制引用
付菊芳,王丹丹,于方方,王悦,刘冰,边冬梅,马瑛,刘云锦,柴艳梅..皮肤软组织扩张器置入术感染的病例对照研究[J].中国感染控制杂志,2015,(5):317-320,4.
