中国感染控制杂志2025，Vol.24Issue(4)：506-511,6.DOI:10.12138/j.issn.1671-9638.20255439
2014-2023年手术后肺炎临床分布特点及变化趋势
Clinical distribution characteristics and changing trend of postoperative pneumonia,2014-2023
摘要
Abstract
Objective To analyze the clinical distribution characteristics and changing trend of postoperative pneu-monia(POP),and provide basis for further monitoring and management of POP.Methods Clinical data of POP patients in the First Affiliated Hospital with Nanjing Medical University from 2014-2023 were collected.The inci-dence of POP,the changing trend of proportion of ventilator-associated pneumonia(VAP),the occurrence time,pathogen distribution,and incidence of POP in various departments were analyzed retrospectively.Results From 2014 to 2023,a total of 653 609 patients in the hospital received surgery,with 676 245 times of operations,out of which 2 934 cases had POP,and the incidence of POP was 0.43％.The average age of POP patients was(59.76±16.53)years old,with 68.58％being male.The incidence of POP decreased from 2.00％in 2014 to 0.10％in 2023,and the proportion of VAP increased from 9.92％in 2014 to 99.10％in 2023,with statistically significant differences(all P＜0.001).POP occurred within 7,10,and 30 days after surgery accounted for 65.81％,78.80％,and 95.64％,respectively.The top three departments with the highest incidences were cardiovascular surgery(5.277％),neurosurgery(2.114％),and thoracic surgery(1.130％).The main pathogen of infection was Gram-negative bacteria(77.58％).Conclusion The incidence of POP shows a downward trend.VAP patients should be the focus of follow-up improvement work.Departments of cardiovascular surgery,neurosurgery,and tho-racic surgery are the key departments of POP,and 10 days after surgery should be the critical period of POP.关键词
肺炎/手术后肺炎/临床分布/变化趋势/呼吸机相关肺炎Key words
pneumonia/postoperative pneumonia/clinical distribution/changing trend/ventilator-associated pneumonia分类
医药卫生引用本文复制引用
郭艳,李占结..2014-2023年手术后肺炎临床分布特点及变化趋势[J].中国感染控制杂志,2025,24(4):506-511,6.基金项目
江苏省科协青年科技人才托举工程(卫生健康领域)(JSTJ-2023-WJ006) （卫生健康领域）
江苏科技智库计划(青年)项目(JSKX24055) （青年）
江苏省医院协会医院管理创新研究课题(JSYGY-3-2023-559) （JSYGY-3-2023-559）
中华预防医学会医院感染学科发展青年人才托举项目(CPMA-HAIC-2004012900108) （CPMA-HAIC-2004012900108）
江苏省人民医院第三期优秀中青年人才培养项目(YNRCQN0314) （YNRCQN0314）
南京医科大学第一附属医院青年基金培育计划(PY2022017) （PY2022017）
