肝移植术后围术期肺部鲍曼不动杆菌感染的相关危险因素分析

Risk factors of pulmonary infection with Acinetobacter baumanii after liver transplantation

  • 摘要: 目的 探讨同种异体肝移植术后肺部鲍曼不动杆菌感染的相关危险因素,以指导临床治疗策略。 方法 回顾性分析北京朝阳医院2011年1月-2017年12月连续343例行同种异体肝移植术患者的临床资料,筛选出术后围术期发生肺部鲍曼不动杆菌感染的患者,分为感染组(27例)和对照组(非感染者316例),对两组一般资料、术中情况、术后情况和肺部鲍曼不动杆菌感染的相关危险因素进行分析。 结果 27例发生肺部鲍曼不动杆菌感染,发生率为7.9%,其中5例因感染死亡。多因素分析结果显示,术前中性粒细胞比例、呼吸机使用时间和重症监护室住院时间是术后肺部鲍曼不动杆菌感染的独立危险因素(P均< 0.05)。 结论 术前中性粒细胞比例、呼吸机使用时间和重症监护室住院时间是肝移植患者术后肺部鲍曼不动杆菌感染的主要危险因素。

     

    Abstract: Objective To investigate the risk factors of pulmonary infection with Acinetobacter baumanii in patients after liver transplantation. Methods Clinical data about 343 patients who underwent liver transplantation in Beijing Chaoyang Hospital from January 2011 to December 2017 were retrospectively analyzed. According to the inclusion criteria, patients were divided into infection group (n=27) and control group (n=316). The general data, perioperative indicators and pulmonary infection with Acinetobacter baumanii were recorded and analyzed. Results In our research, pulmonary infection with Acinetobacter baumanii occurred in 27 cases with incidence of 7.9%, and five patients died of it. Multivariate analysis showed that neutrophil ratio, duration of mechanical ventilation and length of ICU stay were independent risk factors of infection (P< 0.05). Conclusion Neutrophil ratio, duration of mechanical ventilation and length of ICU stay are the main risk factors of pulmonary infection with Acinetobacter baumanii after liver transplantation.

     

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