中国感染控制杂志2025，Vol.24Issue(4)：512-517,6.DOI:10.12138/j.issn.1671-9638.20255461
2017-2023年上海某三级甲等综合医院手术后肺炎发病率调查
Incidence of postoperative pneumonia in a tertiary first-class general hos-pital in Shanghai from 2017 to 2023
摘要
Abstract
Objective To analyze the occurrence of postoperative pneumonia(POP)in a tertiary general first-class hospital in Shanghai,and provide basis for strengthening the implementation of POP prevention and control meas-ures for the target population.Methods The real-time monitoring data of healthcare-associated infection(HAI)from 2017 to 2023 were retrospectively surveyed.The occurrence of POP in all surgical patients(including minimal-ly invasive interventional surgery)were analyzed.Results A total of 701 postoperative patients had POP.The inci-dence of POP was 0.30％.Incidence of POP was higher in male patients than in female patients(0.48％vs 0.15％),in 65-year-old-population than in＜65-year-old-population(0.58％vs 0.17％),and in elective surgery than in emergency surgery(0.35％vs 0.27％),differences were statistically significant(all P＜0.05).The inter-val from postoperative time to POP occurrence in 701 POP patients was 6(4,10)days,with emergency surgery pa-tients developing POP later than elective surgery(7[4,11]days vs 6[3,10]days),and difference was statistically significant(P＜0.05).The top five departments with higher incidences of POP were neurosurgery(5.84％),cardi-ac surgery(4.01％),thoracic surgery(1.92％),abdominal surgery(0.74％),and minimally invasive intervention(0.17％).Incidence of POP in emergency neurosurgery was higher than that in elective neurosurgery(9.71％vs 2.14％),while incidences of POP in elective cardiac surgery and thoracic surgery were both higher than emergency surgery(5.09％vs 2.93％,2.46％vs 0.58％,respectively),differences were all statistically significant(all P＜0.05).A total of 675 strains of pathogens were detected from 701 POP patients,with Gram-negative bacteria being the major pathogens(n=520,77.04％).The predominant detected pathogens were Acinetobacter baumannii(n=119),Pseudomonas aeruginosa(n=116),Staphylococcus aureus(n=108),Klebsiella pneumoniae(n=104),and Stenotrophomonas maltophilia(n=47).Conclusion In the prevention and control of perioperative infection,the key populations for POP prevention and control should be males and those aged ≥65 years old,and the key depart-ments should be neurosurgery,cardiac/thoracic surgery,and abdominal surgery.Minimal invasive surgery also has the risk of POP,which should be paid more attention.关键词
手术后肺炎/围手术期/手术后感染/感染防控/医院感染/POPKey words
postoperative pneumonia/perioperative period/postoperative infection/infection prevention and con-trol/healthcare-associated infection/POP分类
医药卫生引用本文复制引用
朱丹,王丹,王晓颖,邹妮..2017-2023年上海某三级甲等综合医院手术后肺炎发病率调查[J].中国感染控制杂志,2025,24(4):512-517,6.基金项目
松江区科技攻关项目(医药卫生类)(2024SJKJGG021) （医药卫生类）
