Analysis of Related Factors Affecting Respiratory Tract Infection after Oral and Maxilloficiai Surgery
LIU Ming,XUN Li-ping (Department of Oral and Maxilloficial Surgery, Shanghai 9th People's Hospital,Shanghai Second Medical University, Shanghai 200011, China)
Objective To investigate and analyze related factors affecting respiratory tract infection after oral and maxilloficial surgery, and discuss measures of controlling and reducing the incidence of respiratory tract infection. Methods 63 cases of respiratory tract infection acquired after oral and maxillofacial surgery during hospitalization between Jan. 2000 and Dec. 2001 were retrospectively reviewed and analyzed. Results Respiratory tract infection after oral and maxilloficial surgery occurred mainly in the lower respiratory tract, and more likely in elderly patients. The infections were mainly associated with lower immunity due to postoperative chemotherapy or/and radiotherapy, invasive manipulation, immobilization after microsurgical operation, aspiration due to loss of the deglutitive function, and microbial resistance. Conclusion Effective methods to control and reduce the incidence of respiratory tract infections after oral and maxilloficial surgery should include: 1) improving perioperative management, including the ward environment, health education and respiratory physiotherapy; (2) specifying invasive manipulations; (3) implementing aseptic technique, and(4)rationalizing antibiotic use.
【CateGory Index】： R739.8