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宫颈癌根治术后感染相关危险因素分析

朱雯静 付建 王洋 胡军武 方月兰 应小燕

转化医学杂志2024,Vol.13Issue(11):1811-1814,4.
转化医学杂志2024,Vol.13Issue(11):1811-1814,4.DOI:10.3639/j.issn.2095-3097.2024.11.002

宫颈癌根治术后感染相关危险因素分析

Analysis of Relevant Risk Factors for Postoperative Infection in Cervical Cancer Radical Surgery

朱雯静 1付建 1王洋 1胡军武 1方月兰 1应小燕2

作者信息

  • 1. 223800 江苏宿迁,徐州医科大学附属宿迁医院妇产科
  • 2. 210003 江苏南京,南京医科大学第二附属医院妇产科
  • 折叠

摘要

Abstract

Objective To collect clinical information on postoperative infections in cervical cancer patients undergoing radical surgery at Xuzhou Medical University Affiliated Suqian Hospital,assess related risk factors,and provide data support for preventing postoperative infections.Methods Clinical data of cervical cancer patients from January 2018 to December 2023 at Xuzhou Medical University Affiliated Suqian Hospital were retrospectively analyzed.Collect surgical incision secretions,blood cultures,urine cultures,and other samples for bacterial identification and analysis,and univariate and multivariate logistic regression analyses were conducted for cases diagnosed with infections.The correlation between various factors and postoper-ative infections was statistically analyzed.Results Among the 200 patients,18 cases of postoperative infection occurred,with an infection rate of 9%.The severity of the infection site was in the order of surgical incision,urethral opening,and vagina.The pathogens identified included Gram-positive bacteria,Gram-negative bacteria,and fungi.Univariate analysis showed that age,disease stage,chemotherapy status,anemia status,catheterization duration,antibiotic application strategy,and diabetes history were significantly correlated with postoperative infection(P<0.05).Logistic regression analysis indicated that age,disease stage,chemotherapy status,anemia,and catheterization duration were independent risk factors for postoperative nosocomial infec-tion.Conclusion Radical surgery for cervical cancer is prone to nosocomial infections.The pathogens causing infections are diverse,and multiple risk factors contribute to the occurrence of infections.Based on the results,relevant preventive measures can be developed to reduce the incidence of postopera-tive infections.

关键词

宫颈癌/宫颈癌根治术/细菌感染/危险因素

Key words

Cervical cancer/Cervical cancer radical surgery/Bacterial infection/Risk factors

分类

医药卫生

引用本文复制引用

朱雯静,付建,王洋,胡军武,方月兰,应小燕..宫颈癌根治术后感染相关危险因素分析[J].转化医学杂志,2024,13(11):1811-1814,4.

基金项目

2020年度江苏省妇幼健康科研项目和引进新技术(F202031) (F202031)

转化医学杂志

OACSTPCD

2095-3097

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