Analysis of risk factors for nosocomial infection after cholecystectomy
Objective:To explore the risk factors of nosocomial infection after cholecystectomy.Methods:A retrospective study was conducted on 59 cholecystectomy patients who received treatment in Henan Chest Hospital from January 2023 to December 2023.The patients were divided into infected group and uninfected group according to whether nosocomial infection occurred.The general data and treatment of all patients were analyzed.Also the risk factors of nosocomial infection were analyzed.Results:Among the 59 patients,9 cases(15.25%)were nosocomial infection,including 5 cases of incision infection and 1 case of urinary tract infection.There were statistically significant differences between the the infected and uninfected group in age,whether smoke or not,chronic obstructive pulmonary disease,American Society of Anesthesiologists(ASA)scale,preoperative and postoperative hemoglobin content,expected percentage of forced expiratory volume in one second(FEV1)before and after surgery,intraoperative blood loss,standing time in the postanethesia care unit(PACU),and postoperative drainage tube removal time(P＜0.05).Multivariate logistic regression analysis showed that low pre-operative and post-operative albumin levels,low pre-operative and post-operative hemoglobin levels,low postoperative FEV1 percentage of predicted value,long PACU stay time and long post-operative drainage tube removal time were risk factors for nosocomial infection after cholecystectomy(P＜0.05).Conclusions:Risk factors for nosocomial infection after cholecystectomy include low preoperative and postoperative albumin,low preoperative and postoperative hemoglobin,low postoperative FEV1 percentage of predicted value,long PACU stay time and long postoperative drainage removal time.Clinical screening and management of the above risk factors should be strengthened.
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