闭合性骨盆骨折术后切口感染的危险因素及病原学分析

[摘要] Abstract：Objective To explore the risk factors of postoperative incision infection in patients with surgical treatment for closed pelvic fracture, and to analyze the distribution of potentially pathogenic bacteria. Methods 〓The clinical data of 530 patients with surgery for closed pelvic fracture were retrospectively collected, in which 10 cases of incision infection as the infection group and another 520 cases as the non-infection group. The potential risk factors of incision infection were analyzed and the potentially pathogenic bacteria were analyzed by bacterial culture in the infection group. Results 〓The logistic regression model showed that acetabular fracture, trauma severity score(ISS), length of operation, intraoperative blood loss are independent risk factors of incision infection after closed pelvic fracture surgery(P<0.05). The results of bacterial culture showed that the main bacterium was Staphylococcus aureus, accounting for 60.00 %(6/10). It cost shortest time to confirm the infection caused by Staphylococcus aureus, and it cost longest time to completely control the infection caused by Klebsiella pneumonia. Conclusion 〓The acetabular fracture, trauma severity score(ISS), length of operation, intraoperative blood loss are independent risk factors of incision infection after surgery for closed pelvic fracture. The most common infecting bacterium was Staphylococcus aureus, and the infection caused by Klebsiella species is rare but serious complication.

[学科分类] 护理学

[关键词] 闭合性骨盆骨折;感染;危险因素;细菌;出血