宫腔镜手术后患者院内感染的相关因素分析

doi:10.3969/j.issn.1671-7171.2016.10.028

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (1236 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

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.

Key words： Hysteroscopy Cross Infection Postoperative Complications Risk Factors Retrospective Studies

Received: 25 December 2015

PACS:

R443.7

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	YE Feng
	WU Jin
	YU Yan-zi

Cite this article:

YE Feng,WU Jin,YU Yan-zi. Risk Factors of Nosocomial Infection in Patients after Hysteroscopy Operation[J]. JOURNAL OF CLINICAL RESEARCH, 2016, 33(10): 1955-1957.

URL:

http://www.jcr.net.cn/EN/10.3969/j.issn.1671-7171.2016.10.028 OR http://www.jcr.net.cn/EN/Y2016/V33/I10/1955

[1] 侯海燕,陈亚琼,陈晓,等. 不孕症患者盆腔粘连的相关因素及程度对输卵管再通的影响[J]. 中华妇产科杂志,2012,47(11):823-828.
[2] Damiani GR, Landi S, D'Addario V, et al. Pivotal points to prevent iatrogenic infections triggered by hysteroscopy[J]. Aust N Z J Obstet Gynaecol. 2013,53(1):99-100.
[3] Shaw AB, Marlin ES, Ikeda DS, et al. Ventriculoperitoneal shunt infection following uterine instrumentation for dysfunctional uterine bleeding[J]. J Clin Neurosci. 2014,21(8):1462-1463.
[4] Nappi L, Di Spiezio Sardo A, Spinelli M, et al. A multicenter, double-blind, randomized, placebo-controlled study to assess whether antibiotic administration should be recommended during office operative hysteroscopy[J]. Reprod Sci, 2013,20(7):755-761.
[5] Hamada M,Matsumura T,Video MT. Advantages of the laparoscopic approach for intersphincteric resection [J]. Surg Endosc,2011,25( 5) : 1661.
[6] Soydinc HE, Evsen MS, Caca F, et al.Translocated intrauterine contraceptive device: experiences of two medical centers with risk factors and the need for surgical treatment[J]. J Reprod Med,2013,58(5-6):234,240.
[7] Vaid K, Mehra S, Verma M, et al. Pan endoscopic approach "hysterolaparoscopy" as an initial procedure in selected infertile women[J]. J Clin Diagn Res, 2014,8(2):95-98.
[8] Trichot C, Barthier S, Rivain AL, et al. Diagnosis of cervical and endometrial cancer[J]. Rev Prat, 2014,64(6):789-791.
[9] 彭凌,孙涛,赵赢,等.宫腔镜手术后患者医院感染的危险因素分析[J].中华医院感染学杂志,2015, 9(10):2370-2372.
[10] Bergeron ME,Ouellet P,Bujold E,et al.The impact of anesthesia on glycine absorption in operative hysteroscopy:a randomized controlled trial[J].Anesth Analg,2011,113(4):723-728.
[11] Deffieux X, Gauthier T, Ménager N, et al. Prevention of the complications related to hysteroscopy: guidelines for clinical practice[J]. J Gynecol Obstet Biol Reprod (Paris). 2013,42(8):1032-1049.
[12] Wegmllller B,Hug K,Meier BuenMi C,et al.Life-threatening laryngeal edema and hyponatremia during hysteroscopy[J].Crit Care Res Pract,2011,2011:140381.
[13] Cicinelli E, Matteo M, Tinelli R, et al. Prevalence of chronic endometritis in repeated unexplained implantation failure and the IVF success rate after antibiotic therapy[J]. Hum Reprod. 2015,30(2):323-330.
[14] Bakas P,Hassiakos D,Liapis A,et al.Misoprostol for cervical ripening before diagnostic hysteroscopy in nulliparous women[J]. Int J Gynaecol Obstet,2012,116(3):263-264.
[15] Gregoriou O, Bakas P, Grigoriadis C,et al.Antibiotic prophylaxis in diagnostic hysteroscopy:is it necessary or not[J].Eur J Obstet Gynecol Reprod Biol,2012,163(2):190-192.
[16] Florin P, Filippesehi M, Imperatore A, et al.The practicability and surgeons’ subjective experiences with vaginal danazol before an operative hysteroscopy [J]. Steroids,2012,77(5):528-533.