Abstract：【Objective】To analyze the risk factors of nosocomial infection in patients after hysteroscopy operation.【Methods】Retrospective analysis of 3150 cases of nosocomial infection after surgery in our hospital from January 2011 to June 2015 was conducted, Risk factors associated with nosocomial infection in patients was analyzed by univariate factor screening, Multivariate logistic regression analysis was used to determine the independent risk factors of nosocomial infection in patients after hysteroscopy surgery.【Results】A total of 32 cases with nosocomial infection were observed, yielding a postoperative infection rate of 1.02%(32/3150), the main infection types were myositis uterus, pelvic inflammatory disease, which accounting for 37.50% and 28.12%. The main pathogens were Gram-positive and Gram-negative bacteria, fungi each accounting for 60.98%, 31.71%, 7.32%. Univariate analysis showed that preoperative inflammation, operative time, hospital stay, surgical grade, complicated chronic disease, prophylactic use of antimicrobial agents were closely associated with postoperative nosocomial infection (P<0.05). Furthermore, multivariate logistic regression analysis showed that preoperative inflammation, prolonged operative time, higher surgical grade (Ⅳ grade), complicated chronic disease were independent risk factors associated with nosocomial infection in patients (P<0.05).【Conclusion】Factors like preoperative complicated inflammation, prolonged operative time, higher surgical grade and complicated chronic disease can increase the risk of nosocomial infection in patients with hysteroscopy. Thus, it needs to take the appropriate measures to reduce postoperative infection rates.
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2016, Vol. 33 
