摘要
目的了解骨科手术患者医院感染发生情况,探讨有效预防与控制医院感染的措施,以降低感染率。方法前瞻性监测2011年7月-2013年7月骨科住院手术患者,制定目标性监测计划与方案,组建监测团队,开展感染风险评估,随访出院手术患者,回顾性分析感染病例。结果共监测骨科住院手术患者6 836例,发生手术相关医院感染142例,感染率2.08%,其中发生感染部位以手术切口、下呼吸道、上呼吸道为主,分别占26.76%、26.06%、23.24%,手术切口感染科室中骨三科感染率0.84%较高(P<0.05),其中表浅切口感染、深部组织感染、器官腔隙感染分别占23.68%、42.11%、34.21%,由于感染需再次手术治疗8例,占感染病例21.05%。结论骨科手术患者的医院感染与多种因素有关,深入开展目标性监测,落实综合干预措施,可有效预防控制医院感染。
OBJECTIVE To study nosocomial infections in patients with orthopaedic surgery ,so as to explore the effective ways to prevent and control hospital infections associated with bone operations .METHODS A perspective surveillance on orthopedic surgery inpatients from Jul .2011 to Jul .2013 was conducted ,including to draw up a targeted monitoring plan and scheme ,to build a monitoring team ,to carry out infection risk assessment and the intervention measures and to follow surgical patients . Hospital infection cases were analyzed retrospectively . RESULTS A total of 6836 cases of surgical inpatients were monitored ,in which 142 cases of hospital infections as‐sociated with operation were found ,and the infection rate was 2 .08% .The surgical sites ,lower respiratory tract , urinary tract were more prone to be infected ,accounting for 26 .76% ,26 .06% and 23 .24% respectively .Trau‐matic orthopedic surgery infection rate was higher than 0 .84% （P〈0 .05）in the third department of orthopaedics , including superficial incision infection ,deep tissue infection ,organ lacunae infection ,accounting for 23 .68% , 42 .11% and 34 .21% ,respectively .And due to the surgical site infections （SSI） ,eight patients needed surgical treatment again ,and the rate of infection cases was 21 .05% .CONCLUSION A variety of factors are related to hos‐pital infections in orthopaedic surgery in general hospital .Targeted monitoring and comprehensive intervention measures should be carried out to prevent and control hospital infections .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第13期3054-3056,共3页
Chinese Journal of Nosocomiology
基金
江苏省自然科学基金资助项目(BK2012563)
江苏省卫生厅科技基金资助项目(Z201218)
关键词
手术切口感染
目标性监测
医院感染
Surgical site infection （SSI）
Targeted monitoring
Nosocomial infections
