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頁籤選單縮合
題 名 | 乳房手術傷口感染相關因素探討=Risk Factors of Nosocomial Surgical Site Infection in Breast Operation |
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作 者 | 林滿; 王復德; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 11:2 2001.04[民90.04] |
頁 次 | 頁69-81 |
分類號 | 416.226 |
關鍵詞 | 乳房手術; 感染危險因子; Breast surgery; Surgical site infection; Risk factors; |
語 文 | 中文(Chinese) |
中文摘要 | 手術部位感染是乳房手術病患常見的合併症之一。本研究的目的為了解影響乳房手術病患之手術部位感染相關危險因子。採個案對照研究法,自1999年1月至1999年12月以接受乳房手術之病患為對象。本研究顯示接受乳房手術共 456人次,院內手術部位感染 56人次,平均感染率為12.28%。進一步將手術分為組織切片、小腫塊切除、修正型根治乳房切除三類,以組織切片感染率最低(2.1%),其次為小腫塊切除(10%),最高為修正型根治乳房切除(22.1%)。影響手術部位感染危險因子具有統計學上意義者包括肥胖、手術後化療、手術時間、引流管、及合併腋下切除手術。共分離出26株菌,以Staphylococcus aureus(57.7%) ; Steno-trophomonas maltophilia(11.5%) ; coagulase(-)staphylococci(7.7%)為前三位。結論:乳房手術部位感染相關危險因子包括肥胖、手術後化療、手術時間、引流管、及合併腋下切除手術。 |
英文摘要 | Surgical site infection is one of the most common complications seen in patients who received breast surgery. This study aims to examine the risk factors associated with surgical site infections among these patients. A case- control study targeting patients who received breast procedures between January and December, 1999 was carried out. Of the total of 456 cases who received breast operations, nosocomial surgical site infection developed in 56, representing an infection rate of 12.2%. Tissue biopsy had the lowest rate of infection (2.1%), followed by lumpectomy (10%), and modified radical mastectomy (22.1%). Significant risk factors calculated by chi-square test, include obesity, post-surgical chemotherapy, long duration of surgery, presence of drainage tube, and combined dissection of axillary lymph-nodes. A total of 26 species of microorganisms were isolated, with Staphylococcus aureus (57.5%), Stenotrophomonas maltophilia (11.5%), and coagulase-negative stphylo-cocci (7.7%) accounting for the three most frequently isolated. |
本系統中英文摘要資訊取自各篇刊載內容。