烧伤整形术后患者发生感染相关危险因素及诊疗对策
卜伟冥;廖钰珊;苏日跃;韦昌延
【期刊名称】《中华实验和临床感染病杂志(电子版)》 【年(卷),期】2017(011)006
【摘要】Objective To investigate the related factors that could cause infection after burn plastic surgery, and to put forward the corresponding treatment measures and recommendations. Methods Total of 88 patients with infection symptoms were collected randomly from January 2013 to December 2015. There were 88 patients without infection were selected during this period as control group. The influencing factors of infection after burn plastic surgery and the countermeasures were analyzed by Univariate analysis and multivariate Logistic regression analysis. Results Univariate analysis showed that there were no signs of scarring, with or without residual wounds, the number of antimicrobial agents and the time of operation were related to postoperative infection of burns. According to the results of multivariate Logistic regression analysis (OR = 2.812, P = 0.026), scar wounds (OR = 3.148, P = 0.011), residual wounds (OR = 2.711, P = 0.030) and operation time ≥ 200 (OR = 2.883, P = 0.019) were all the risk factors of postoperative infection, respectively. The pathogen test showed 35.23% and 64.77% of Gram-positive and negative cocci infection. The main pathogens were Pseudomonas aeruginosa,