창상감염의 원인에 대한 역행적 조사

Abstract

One hundred and ninety two cases of peritonitis caused by peptic ulcer, appendicitis, typhoid enteritis and blunt abdominal trauma were analysed retrospectively to study the possible contributing factors of wound infection.

Wound infection was more common in patients over 60 years of age.

Wound infection was more frequent in summer season.

The increased rate of would infection was found in the group of patients with hemoglobin below

8 gm% and WBC less than 5000/mm3.

Among twenty five patients whose serum albumin level was over 3.5gm%, only one developed wound infection (0.04%), and among the patients with serum albumin less than 3.5gm%, the rate of wound infection was 17.1%. The hypotensive group (patients with systolic blood pressure less than 8OmmHg at the time of admission) developed more wound infection than normotensive or hypertensive group.

The serial wound culture showed changes in bacterial flora during hospitalization. The overall hospital mortality of this series was 6. 3% (12 out of 192) and three out of twelve patients died had wound infection.