Tình trạng nhiễm khuẩn vết mổ ở bệnh nhân Ngoại tiêu hóa và Gan Mật Tụy

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Tác giả: Văn Nhân Phạm, Nguyễn Đăng Khoa Thi, Thiện Hòa Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y Dược học Phạm Ngọc Thạch, 2024

Mô tả vật lý: tr.133

Bộ sưu tập: Metadata

ID: 286423

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Đặt vấn đề: Nhiễm khuẩn vết mổ (NKVM) là một vấn đề khó khăn mà các bác sĩ trên khắp thế giới vẫn đang phải đối mặt. Tỉ lệ nhiễm khuẩn vết mổ tương đối cao ở các phẫu thuật liên quan đến đường tiêu hóa và gan mật tụy. Nghiên cứu nhằm đánh giá tình trạng NKVM ở nhóm đối tượng này với mục tiêu là xác định tỉ lệ và một số yếu tố ảnh hưởng đến NKVM. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang các trường hợp sau phẫu thuật tại Khoa Ngoại tiêu hóa và Gan - Mật - Tụy, Bệnh viện Bình Dân, từ tháng 03 năm 2024 đến tháng 06 năm 2024. Kết quả: 167 bệnh nhân đã được phẫu thuật. Tuổi trung bình 57,8 ± 15,7 (15 - 97). Bệnh nhân suy dinh dưỡng (11,4%). Bệnh lý kèm theo: đái tháo đường (13,8%). Phẫu thuật nội soi chiếm đa số (64,1%). Tỷ lệ bệnh nhân có phẫu thuật sạch nhiễm (74,3%). Tỉ lệ nhiễm khuẩn vết mổ là 6%, trong đó nhiễm khuẩn sâu (10%), nhiễm khuẩn nông (90%). Cấy khuẩn Escherichia coli dương tính (66,6%). Kết luận: Tỷ lệ nhiễm khuẩn là tương đối thấp (6%), tuy nhiên cần phát hiện sớm và điều trị kịp thời các trường hợp có yếu tố nguy cơ cao. Abstract Background: Surgical site infections (SSIs) are a challenging issue faced by surgeons worldwide. The rate of SSIs is relatively high in surgeries involving the Gastrointestinal and Hepato - Pancreatico - Biliary systems. This study aims to evaluate the occurrence of SSIs in this patient group. Subject and methods: A cross-sectional descriptive study was conducted on 167 patients who underwent gastrointestinal and hepato-pancreatico-biliary surgeries at Binh Dan Hospital. Results: The mean age of patients was 57,8 ± 15,7 (15 - 97). The percentage of patients with malnutrition was 11,4%. Comorbidity: diabetes 13,8%. Laparoscopic surgery accounted for the majority (64,1%). The percentage of patients undergoing clean surgery was 74,3%. The overall rate of surgical site infections was 6%, among which deep infections accounted for 10% and superficial infections 90%. Positive cultures for Escherichia coli were found in 66,6% of cases. Conclusions: The SSIs rate is low
however, early detection and timely treatment are crucial, especially for patients with high-risk factors. DOI: 10.59715/pntjmp.3.4.16

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