Logistic Regression Analysis of Risk Factors for Surgical Site Infection after Hepatobili-ary and Pancreatic Surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 FENGAi-jun ¹ , LIUYan-qin ²

1.Emergency Department, Feng,nan District Hospital of Tangshan City, Tangshan 063300, Hebei Province, China;
2.Department of Pediatrics, Feng,nan District Hospital of Tangshan City, Tangshan 063300, Hebei Province, China;

Corresponding?author：

FENGAi-jun, Email: xxxaaa1205@163.com

Keywords：

Surgical site infection; Hepatobiliary and pancreatic surgery; Influence factors; Logistic regression

DOI：

10.7507/1007-9424.20160187

Video：

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Objective To study the influence factors of surgical site infection (SSI) after hepatobiliary and pancreatic surgery. Methods Fifty patients suffered from SSI after hepatobiliary and pancreatic surgery who treated in Feng,nan District Hospital of Tangshan City from April 2010 and April 2015 were retrospectively collected as observation group, and 102 patients who didn’t suffered from SSI after hepatobiliary and pancreatic surgery at the same time period were retrospectively collected as control group. Then logistic regression was performed to explore the influence factors of SSI. Results Results of univariate analysis showed that, the ratios of patients older than 60 years, combined with cardiovascular and cerebrovascular diseases, had abdominal surgery history, had smoking history, suffered from the increased level of preoperative blood glucose , suffered from preoperative infection, operative time was longer than 180 minutes, American Societyof Anesthesiologists (ASA) score were 3-5, indwelled drainage tube, without dressing changes within 48 hours after surgery, and new injury severity score (NISS) were 2-3 were higher in observation group (P＜0.05). Results of logistic regression analysis showed that, patients had history of abdominal surgery (OR=1.92), without dressing changes within 48 hours after surgery (OR=2.07), and NISS were 2-3 (OR=2.27) had higher incidence of SSI (P＜0.05). Conclusion We should pay more attention on the patient with abdominal surgery history and with NISS of 2-3, and give dressing changes within 48 hours after surgery, to reduce the incidence of SSI.

Citation： FENGAi-jun, LIUYan-qin. Logistic Regression Analysis of Risk Factors for Surgical Site Infection after Hepatobili-ary and Pancreatic Surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(6): 706-709. doi: 10.7507/1007-9424.20160187 Copy

1.	?趙鈞. 肝膽手術部位感染164例相關危險因素分析. 中國社區醫師, 2014, 30(36): 45-46.
2.	黃天從, 王高雄, 李新豐, 等. 肝膽外科患者手術部位感染病原菌分布與危險因素分析. 中華醫院感染學雜志, 2015, 25(22): 5114-5116.
3.	中華人民共和國衛生部. 醫院感染診斷標準（試行）. 北京, 2001.
4.	黃荔紅, 游荔君, 王佳, 等. 手術部位感染回顧性調查及危險因素分析. 中國感染控制雜志, 2013, 12(2): 97-100.
5.	陳浩然. 肝膽外科手術后感染的病原菌分布及耐藥性分析. 中華醫院感染學雜志, 2013, 23(6): 1343-1345.
6.	陳昕, 徐濤, 時紅光, 等. 肝膽手術后醫院感染的預防措施分析. 中國醫療前沿, 2011, 6(9): 28, 40.
7.	楊守蓉, 鄔光祠, 黃達敏. 婦產科術后腹壁切口感染和液化的預防和治療. 中國實用醫藥, 2010, 5(23): 104-105.
8.	陳艷軍, 李曉勇. 肝膽外科手術后切口感染的多因素分析及對策. 白求恩軍醫學院學報, 2011, 9(3): 194-196.
9.	周宏, 韓方正, 茅一平, 等. 肝膽手術手術部位感染相關危險因素研究. 中國感染控制雜志, 2010, 9(5): 334-336.
10.	朱志楊, 阮新賢, 林凌. 肝膽手術部位感染的臨床特征及相關因素分析. 中華醫院感染學雜志, 2014, 24(3): 701-702, 705.
11.	Fujii T, Kato H, Suzaki M, et al. Is it possible to predict the develop-ment of an incisional surgical site infection and its severity after biliary tract surgery for benign disease?. J Hepatobiliary Pancreat Sci, 2012, 19(4): 389-396.
12.	龔志軍, 任鏡清, 孔剛, 等. 腹部切口脂肪液化危險因素的Logistic回歸分析. 廣東醫學, 2007, 28(3): 429-431.
13.	尚健, 尹義存, 姚合斌. 糖尿病患者圍手術期的血糖控制. 海軍總醫院學報, 2011, 24(2): 94-96.
14.	何志川. 膽石癥開腹手術手術部位感染危險因素分析. 福州: 福建醫科大學, 2012: 32-37.
15.	賈淑芹, 福泉, 金山. 肝內膽管結石合并膽道感染的細菌譜. 世界華人消化雜志, 2012, 20(34): 3349-3353.
16.	茅一萍, 徐耀初. 外科手術部位感染及其危險因素研究進展. 中華疾病控制雜志, 2009, 13(6): 707-710.
17.	Freeman JT, Anderson DJ, Hartwig MG, et al. Surgical site infec-tions following bariatric surgery in community hospitals: a weighty concern?. Obes Surg, 2011, 21(7): 836-840.
18.	Alexander JW. When should prophylactic antibiotics be given?. Ann Surg, 2009, 249(4): 557-558.
19.	Young H, Berumen C, Knepper B, et al. Statewide collaboration to evaluate the effects of blood loss and transfusion on surgical site infection after hysterectomy. Infect Control Hosp Epidemiol, 2012, 33(1): 90-93.
20.	中華人民共和國衛生部. 感染預防與控制技術指南. 醫院管理論壇, 2011, 28(1): 6-8.
21.	刁暢, 程若川. 腹部外科圍手術期預防手術部位感染的若干問題的探討. 國際外科學雜志, 2011, 38(1): 3-6.
22.	Morii T, Mochizuki K, Tajima T, et al. Surgical site infection in malignant soft tissue tumors. J Orthop Sci, 2012, 17(1): 51-57.
23.	Richards JE, Kauffmann RM, Zuckerman SL, et al. Relationship of hyperglycemia and surgical-site infection in orthopaedic surgery. J Bone Joint Surg Am, 2012, 94(13): 1181-1186.
24.	Shinkawa H, Takemura S, Uenishi T, et al. Nutritional risk index as an independent predictive factor for the development of surgical site infection after pancreaticoduodenectomy. Surg Today, 2013, 43(3): 276-283.

1. ?趙鈞. 肝膽手術部位感染164例相關危險因素分析. 中國社區醫師, 2014, 30(36): 45-46.
2. 黃天從, 王高雄, 李新豐, 等. 肝膽外科患者手術部位感染病原菌分布與危險因素分析. 中華醫院感染學雜志, 2015, 25(22): 5114-5116.
3. 中華人民共和國衛生部. 醫院感染診斷標準（試行）. 北京, 2001.
4. 黃荔紅, 游荔君, 王佳, 等. 手術部位感染回顧性調查及危險因素分析. 中國感染控制雜志, 2013, 12(2): 97-100.
5. 陳浩然. 肝膽外科手術后感染的病原菌分布及耐藥性分析. 中華醫院感染學雜志, 2013, 23(6): 1343-1345.
6. 陳昕, 徐濤, 時紅光, 等. 肝膽手術后醫院感染的預防措施分析. 中國醫療前沿, 2011, 6(9): 28, 40.
7. 楊守蓉, 鄔光祠, 黃達敏. 婦產科術后腹壁切口感染和液化的預防和治療. 中國實用醫藥, 2010, 5(23): 104-105.
8. 陳艷軍, 李曉勇. 肝膽外科手術后切口感染的多因素分析及對策. 白求恩軍醫學院學報, 2011, 9(3): 194-196.
9. 周宏, 韓方正, 茅一平, 等. 肝膽手術手術部位感染相關危險因素研究. 中國感染控制雜志, 2010, 9(5): 334-336.
10. 朱志楊, 阮新賢, 林凌. 肝膽手術部位感染的臨床特征及相關因素分析. 中華醫院感染學雜志, 2014, 24(3): 701-702, 705.
11. Fujii T, Kato H, Suzaki M, et al. Is it possible to predict the develop-ment of an incisional surgical site infection and its severity after biliary tract surgery for benign disease?. J Hepatobiliary Pancreat Sci, 2012, 19(4): 389-396.
12. 龔志軍, 任鏡清, 孔剛, 等. 腹部切口脂肪液化危險因素的Logistic回歸分析. 廣東醫學, 2007, 28(3): 429-431.
13. 尚健, 尹義存, 姚合斌. 糖尿病患者圍手術期的血糖控制. 海軍總醫院學報, 2011, 24(2): 94-96.
14. 何志川. 膽石癥開腹手術手術部位感染危險因素分析. 福州: 福建醫科大學, 2012: 32-37.
15. 賈淑芹, 福泉, 金山. 肝內膽管結石合并膽道感染的細菌譜. 世界華人消化雜志, 2012, 20(34): 3349-3353.
16. 茅一萍, 徐耀初. 外科手術部位感染及其危險因素研究進展. 中華疾病控制雜志, 2009, 13(6): 707-710.
17. Freeman JT, Anderson DJ, Hartwig MG, et al. Surgical site infec-tions following bariatric surgery in community hospitals: a weighty concern?. Obes Surg, 2011, 21(7): 836-840.
18. Alexander JW. When should prophylactic antibiotics be given?. Ann Surg, 2009, 249(4): 557-558.
19. Young H, Berumen C, Knepper B, et al. Statewide collaboration to evaluate the effects of blood loss and transfusion on surgical site infection after hysterectomy. Infect Control Hosp Epidemiol, 2012, 33(1): 90-93.
20. 中華人民共和國衛生部. 感染預防與控制技術指南. 醫院管理論壇, 2011, 28(1): 6-8.
21. 刁暢, 程若川. 腹部外科圍手術期預防手術部位感染的若干問題的探討. 國際外科學雜志, 2011, 38(1): 3-6.
22. Morii T, Mochizuki K, Tajima T, et al. Surgical site infection in malignant soft tissue tumors. J Orthop Sci, 2012, 17(1): 51-57.
23. Richards JE, Kauffmann RM, Zuckerman SL, et al. Relationship of hyperglycemia and surgical-site infection in orthopaedic surgery. J Bone Joint Surg Am, 2012, 94(13): 1181-1186.
24. Shinkawa H, Takemura S, Uenishi T, et al. Nutritional risk index as an independent predictive factor for the development of surgical site infection after pancreaticoduodenectomy. Surg Today, 2013, 43(3): 276-283.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Logistic Regression Analysis of Risk Factors for Surgical Site Infection after Hepatobili-ary and Pancreatic Surgery

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