经皮肾镜碎石取石术后并发感染危险因素
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路璐

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R692.4R181.3+2

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Risk factors for infection following percutaneous nephrolithotomy
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    摘要:

    目的了解患者经皮肾镜碎石取石术后并发感染的危险因素,为预防患者术后感染提供依据。方法选择2010年8月—2013年8月某院住院行经皮肾镜碎石取石术患者96例,对其临床资料进行回顾性分析,对患者术后感染情况、危险因素及分离病原体等进行分析。结果经皮肾镜碎石取石术后,发生感染35例,感染率为36.46%(35/96)。单因素分析结果显示,结石大小、形状、手术时间以及灌注量是患者术后感染的危险因素(均P<0.05)。对术前96例患者和术后18例患者进行尿细菌培养,共检出病原菌39株,其中大肠埃希菌占首位(12株),其次为铜绿假单胞菌(8株)、草绿色链球菌(5株)、肺炎克雷伯菌(4株)和阴沟肠杆菌(3株)等。结论经皮肾镜取石术后并发感染率高;进行此类手术时,应做好充足地术前准备,有效减少手术时间和术中灌注量;同时,合理使用抗菌药物,以改善患者术后感染情况。

    Abstract:

    ObjectiveTo explore the risk factors for infection following percutaneous nephrolithotomy(PCNL),and provide the basis for prevention of postoperative infection.Methods96 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.Results35 patients (36.46%[35/96])developed infection following PCNL.  Univariate analysis revealed that risk factors for postoperative 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 aeruginosa (n=8),  Streptococcus viridans (n=5), Klebsiella pneumoniae (n=4) and Enterobacter cloacae (n=3). ConclusionInfection rate following PCNL is high, duration of operation and intraoperative perfusion should be reduced, antimicrobial agents should be used rationally.

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路璐,李小顺,何丽萍,等.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,2015,14(1):35-37. DOI:10.3969/j. issn.1671-9638.2015.01.008.
LU Lu, LI Xiaoshun, HE Liping, et al. Risk factors for infection following percutaneous nephrolithotomy[J]. Chin J Infect Control, 2015,14(1):35-37. DOI:10.3969/j. issn.1671-9638.2015.01.008.

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  • 收稿日期:2014-07-18
  • 最后修改日期:2014-09-12
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  • 在线发布日期: 2015-01-31
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