关键词: 肝胆外科, 医院感染, 预防措施, Hepatobiliary Surgery , Nosocomal infection , Prevention measures

Abstract: 【Abstract】Objective To investigate the characteristics and risk factors of nosocomial infection in hepatobiliary surgery, find the effective measures to reduce nosocomial infection. Methods The inpatient cases of hepatobiliary surgery from January to December of 2010 were retrospecvtively surveyed. Results 82 people and 105 cases were infected, the infection rate was 2.54%, case infection rate was 3.25%. Infection types of surgical site infection (41.90%), lower respiratory tract infection (26.67%) and blood stream infection (16.19 %). Of the isolated strains, the rates of bacterial were gram-negative bacteria (62.61%), gram-positive bacteria (30.43%) and fungi (6.96%). The patients after liver and pancreatic tumor resection with the highest postoperative infection rate (39.39% and 15.49%). Conclusion The hospital infection surveillance and rational use of antimicrobial drugs, improve the operation plan and shorten the operation time, strict aseptic technique, strengthening the management, and enhance awareness of medical staff hand hygiene is the important measures to reduce nosocomal infection in hepatobiliary surgery .