CAJ | 학술논문

目的：探讨妇科术后腹部切口感染的主要因素、病原菌、处理方法及抗菌药物合理应用。方法回顾性分析我院2010年1月至2013年12月四年间58例妇科术后腹部切口感染的病例，以《医院感染诊断标准试行》为诊断标准。结果妇科术后腹部切口感染率2.41%，病原菌以革兰阳性菌（G+球菌）为主，占58.62%，革兰阴性菌（G-杆菌）占39.65%，真菌占1.73%。结论加强围手术期管理，术中精细操作，合理应用抗生素，重视细菌分离和药敏试验结果是降低妇科术后腹部切口感染的重要方法。
목적：탐토부과술후복부절구감염적주요인소、병원균、처리방법급항균약물합리응용。방법회고성분석아원2010년1월지2013년12월사년간58례부과술후복부절구감염적병례，이《의원감염진단표준시행》위진단표준。결과부과술후복부절구감염솔2.41%，병원균이혁란양성균（G+구균）위주，점58.62%，혁란음성균（G-간균）점39.65%，진균점1.73%。결론가강위수술기관리，술중정세조작，합리응용항생소，중시세균분리화약민시험결과시강저부과술후복부절구감염적중요방법。
Objective To explore the main factors, pathogens, treatment methods, and rational use of antibiotics of gynecological postoperative abdominal incision infections. Methods A retrospective analysis of 58 cases of gynecological postoperative abdominal incision infection in our hospital from January 2010 to December 2013, based on the Trial of Diagnostic Criteria for Hospital Infection. Results Gynecological surgery abdominal incision infection rate is 2.41%, Gram-positive bacteria(G+cocci)accounted for 58.62%, Gram-negative bacteria(G-bacilli) accounted for 39.65%, fungi accounted for 1.73%. Conclusion Reinforce the perioperative management, intraoperative fine operation, and rational use of antibiotics. Pay attention to bacterial isolates and susceptibility test results are important methods to lower gynecological abdominal surgery wound infection.