CAJ | 학술논문

目的：对小儿外科患儿术后感染病原菌分布进行调查，为临床预防小儿术后感染提供参考。方法对2008年8月－2013年8月小儿外科手术治疗并发术后感染患儿的临床资料进行回顾性分析，探讨小儿外科术后感染病原菌分布及感染相关因素；采用SPSS 17．0软件对数据进行统计分析。结果共检出病原菌140株，前3位病原菌依次为铜绿假单胞菌、肺炎克雷伯菌、金黄色葡萄球菌，分别占31．42％、20．00％、15．71％；感染部位以呼吸道、切口、尿道及消化道为主，分别占45．71％、34．29％、12．86％和7．14％；年龄≤3岁、Ⅱ型手术切口、手术时间＞120 min、急诊手术与小儿术后感染的发生具有相关性（P＜0．05）。结论小儿外科手术后，应针对相关感染因素及易感部位做好预防工作，以利于患儿的康复。
목적：대소인외과환인술후감염병원균분포진행조사，위림상예방소인술후감염제공삼고。방법대2008년8월－2013년8월소인외과수술치료병발술후감염환인적림상자료진행회고성분석，탐토소인외과술후감염병원균분포급감염상관인소；채용SPSS 17．0연건대수거진행통계분석。결과공검출병원균140주，전3위병원균의차위동록가단포균、폐염극뢰백균、금황색포도구균，분별점31．42％、20．00％、15．71％；감염부위이호흡도、절구、뇨도급소화도위주，분별점45．71％、34．29％、12．86％화7．14％；년령≤3세、Ⅱ형수술절구、수술시간＞120 min、급진수술여소인술후감염적발생구유상관성（P＜0．05）。결론소인외과수술후，응침대상관감염인소급역감부위주호예방공작，이리우환인적강복。
OBJECTIVE To investigate the distribution of the pathogens causing postoperative infections in the chil‐dren of pediatric surgery department so as to provide guidance for clinical prevention of the postoperative infections in the children .METHODS The clinical data of the children who received surgical treatment in the pediatric surgery department from Aug 2008 to Aug 2013 and were complicated with postoperative infections were retrospectively analyzed .The distribution of the pathogens causing the postoperative infections was observed ,the related factors for the infections were analyzed ,and the statistical analysis was performed by using SPSS17 .0 software .RESULTS A total of 140 strains of pathogens have been isolated ,among which the Pseudomonas aeruginosa , K lebsiella pneumoniae ,and Staphylococcus aureus ranked the top three species ,accounting for 31 .42% ,20 .00% ,and 15 .71% ,respectively .Of the children with the postoperative infections ,45 .71% had the respiratory tract infec‐tions ,34 .29% had the incision infections ,12 .86% had the urinary tract infections ,and 7 .14% had the gastroin‐testinal tract infections .The incidence of the postoperative infections in the children was associated with the no more than 3 years of age ,type Ⅱ surgical incision ,operation duration more than 120 min ,and emergency surgery (P<0 .05) .CONCLUSION It is necessary to take targeted prevention measures in response to the related factors for the infections and the susceptible infection sites after the pediatric surgery so as to promote the rehabilitation of the children .