口腔颌面部恶性肿瘤术后感染的病原菌分布
|
摘要
目的:分析口腔颌面部恶性肿瘤术后感染的病原菌分布,为术后感染的防治提供依据。方法:回顾性分析2015年1月至2017年12月广西医科大学附属口腔医院收治的963例口腔颌面部恶性肿瘤患者的临床资料,统计患者的感染情况,分析术后感染的发生部位、病原菌种类。结果:963例患者中,81例发生感染,主要感染部位为手术切口感染,占65.4%,其次为肺部感染,占22.2%。感染常见病原菌为铜绿假单胞菌,占33%,其次为肺炎克雷伯菌,占9.9%。深部手术切口感染常见菌为铜绿假单胞菌,表浅手术切口感染常见菌为肺炎克雷伯菌。结论:口腔颌面部恶性肿瘤术后感染常见菌为铜绿假单胞菌和肺炎克雷伯菌,需采取针对性的有效措施,防治此类感染的发生。
Objective:To analyze the pathogenic bacteria distribution of postoperative infections of oral and maxillofacial malignant tumor,providing the theoretical foundation for the prevention and treatment of postoperative infection.Methods:Clinical data of 963 patients with oral and maxillofacial malignant tumors treated in our hospital from 2015 to 2017 were collected.The distribution of the infection rate,location and the pathogenic bacteria was analyzed.Results:Of the 963 patients,81 cases got postoperative infection.The main infection sites were surgical wounds(65.4%),followed by pulmonary infection(22.2%).The most common pathogen was Pseudomonas aeruginosa(33%),followed by Klebsiella pneumonia(9.9%).The infection of deep surgical incision was commonly caused by Pseudomonas aeruginosa,and superficial surgical incision was caused by Klebsiella pneumoniae.Conclusion:Pseudomonas aeruginosa and Klebsiella pneumoniae were the main pathogens in postoperative infections of oral and maxillofacial malignancies,and effective measures should be taken to prevent and control the occurrence of such infection.
Objective:To analyze the pathogenic bacteria distribution of postoperative infections of oral and maxillofacial malignant tumor,providing the theoretical foundation for the prevention and treatment of postoperative infection.Methods:Clinical data of 963 patients with oral and maxillofacial malignant tumors treated in our hospital from 2015 to 2017 were collected.The distribution of the infection rate,location and the pathogenic bacteria was analyzed.Results:Of the 963 patients,81 cases got postoperative infection.The main infection sites were surgical wounds(65.4%),followed by pulmonary infection(22.2%).The most common pathogen was Pseudomonas aeruginosa(33%),followed by Klebsiella pneumonia(9.9%).The infection of deep surgical incision was commonly caused by Pseudomonas aeruginosa,and superficial surgical incision was caused by Klebsiella pneumoniae.Conclusion:Pseudomonas aeruginosa and Klebsiella pneumoniae were the main pathogens in postoperative infections of oral and maxillofacial malignancies,and effective measures should be taken to prevent and control the occurrence of such infection.
引文
[1]杨晓林.口腔颌面部恶性肿瘤297例临床病理分析[J].中国现代医药杂志,2016,18(2):64-66.
[2]韦雪柳,姚金光.舌鳞状细胞癌和肿瘤干细胞的研究进展[J].右江医学,2016,44(3):337-340.
[3]田忠奇,刘慧,胡露露,等.口腔颌面部恶性肿瘤患者术后术区感染危险因素分析[J].中国美容医学,2017,26(4):67-70.
[4]孙振龙.口腔颌面外科手术后医院感染情况分析[J].中国现代医药杂志,2015,17(4):60-61.
[5]李琴.快速康复理念在口腔颌面部恶性肿瘤行皮瓣移植术患者围手术期的应用[J].实用临床护理学电子杂志,2017(50):152-153.
[6]蒙光义,王冬晓,卢婷,等.外科Ⅱ类切口手术切口感染危险因素的Logistic回归分析[J].中国医院药学杂志,2016,36(1):54-58.
[7]高璇.口腔颌面外科手术后的感染因素[J].医疗装备,2018(1):143-144.
[8]丁国强,蒋红卫,叶英响,等.口腔颌面肿瘤患者术后医院感染的病原菌分析与控制[J].中华医院感染学杂志,2015(4):807-809.
[9]杨伟东,李双月,江仁,等.全身麻醉术后下呼吸道感染相关影响因素分析[J].中华医院感染学杂志,2018,28(9):1374-1376.
[10]郭大志,沈晨,张禹,等.气管切开与非气管切开患者肺部感染病原菌分布及耐药率比较分析[J].检验医学与临床,2016,13(19):2743-2745.
[11]王秋菊,秦进,袁飞.2 162株铜绿假单胞菌医院感染的临床分布及耐药性分析[J].疾病监测,2014,29(6):454-457.
[12]KIM M,CHRISTLEY S,KHODAREV N N,et al.Pseudomonas aeruginosa wound infection involves activation of its iron acquisition system in response to fascial contact[J].J Trauma Acute Care Surg,2015,78(4):823-829.
[13]付云杰.120例肺炎克雷伯菌超广谱β-内酰胺酶和头孢菌素酶酶的检测及耐药性[J].医疗装备,2016,29(19):124-125.
[2]韦雪柳,姚金光.舌鳞状细胞癌和肿瘤干细胞的研究进展[J].右江医学,2016,44(3):337-340.
[3]田忠奇,刘慧,胡露露,等.口腔颌面部恶性肿瘤患者术后术区感染危险因素分析[J].中国美容医学,2017,26(4):67-70.
[4]孙振龙.口腔颌面外科手术后医院感染情况分析[J].中国现代医药杂志,2015,17(4):60-61.
[5]李琴.快速康复理念在口腔颌面部恶性肿瘤行皮瓣移植术患者围手术期的应用[J].实用临床护理学电子杂志,2017(50):152-153.
[6]蒙光义,王冬晓,卢婷,等.外科Ⅱ类切口手术切口感染危险因素的Logistic回归分析[J].中国医院药学杂志,2016,36(1):54-58.
[7]高璇.口腔颌面外科手术后的感染因素[J].医疗装备,2018(1):143-144.
[8]丁国强,蒋红卫,叶英响,等.口腔颌面肿瘤患者术后医院感染的病原菌分析与控制[J].中华医院感染学杂志,2015(4):807-809.
[9]杨伟东,李双月,江仁,等.全身麻醉术后下呼吸道感染相关影响因素分析[J].中华医院感染学杂志,2018,28(9):1374-1376.
[10]郭大志,沈晨,张禹,等.气管切开与非气管切开患者肺部感染病原菌分布及耐药率比较分析[J].检验医学与临床,2016,13(19):2743-2745.
[11]王秋菊,秦进,袁飞.2 162株铜绿假单胞菌医院感染的临床分布及耐药性分析[J].疾病监测,2014,29(6):454-457.
[12]KIM M,CHRISTLEY S,KHODAREV N N,et al.Pseudomonas aeruginosa wound infection involves activation of its iron acquisition system in response to fascial contact[J].J Trauma Acute Care Surg,2015,78(4):823-829.
[13]付云杰.120例肺炎克雷伯菌超广谱β-内酰胺酶和头孢菌素酶酶的检测及耐药性[J].医疗装备,2016,29(19):124-125.