摘要
目的分析人工关节置换术后切口感染的原因,提出预防性管理措施。方法对2002年7月-2005年6月收治的587例施行人工关节置换术的患者进行了回顾性调查分析,同时每月对手术医务人员手、医护用具、术中层流手术间空气进行细菌学培养。结果587例(632个关节)人工关节置换手术,发生切口感染5例,其中髋关节置换术后切口感染2例,膝关节置换术后切口感染3例;深部感染4例,浅部感染1例;术后切口感染发生率为0.79%。结论加强手术室感染管理,层流设备应定期检测消毒、术后伤口充分引流、减少其他部位医院感染的发生等,是预防人工关节置换术后切口感染的护理管理措施。
OBJECTIVE To analyze the reason of wound infection after total joint replacement and to present the prophylactic management measures. METHODS Totally 632 total joint replacements in 587 patients between Jul 2002 and Jun 2005 were retrospectively reviewed. There were 445 cases with total hip replacements and 187 cases with total knee replacements. The specimens for bacterial culture were taken from the hands of the surgical staffs, the medical devices and the air flow in the operation theater monthly. RESULTS In this series, 5 cases developed wound infections, with 2 cases of total hip replacement and 3 cases of total knee replacement, where 4 cases with deep infections and one case with superficial infection. The total infection rate was 0. 79% （5/632）. In the 5 infection cases, there were 2 cases having the same bacterial culture as the air culture. CONCLUSIONS Improvement of the management in the operation theater, check of the laminar air flow device regularly, sufficient drainage and prevention of other medical iatrogenic infections are crucial for prevention of the infection after total joint replacement.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2007年第1期40-41,共2页
Chinese Journal of Nosocomiology
关键词
关节置换
护理管理
预防感染
Total joint replacement
Nursing supervision
Infection prevention
