摘要
目的了解乳腺癌根治术后切口感染聚集性病例的情况,并调查原因。方法对嘉兴市某三级医院2017年9月17日至10月16日乳腺癌根治术后发生的6例手术部位感染患者进行流行病学调查、细菌鉴定与药敏试验、环境卫生学监测。结果该院在1个月内出现6例乳腺癌根治术后手术部位感染患者,其中5例切口分泌物培养结果为金黄色葡萄球菌,但是药敏谱不一致;6例患者均为同一个医生进行的手术。环境卫生学监测样本未监测到金黄色葡萄球菌。结论本次感染聚集事件发生的原因可能与手术医生手部定植的金黄色葡萄球菌有关。
Objective To understand the epidemiological characteristics of clustered cases with surgical site infection after radical mastectomy,and investigate the causes.Methods An epidemiological investigation was performed on 6 patients with surgical site infections after radical mastectomy from September 17 to October 16,2017 in a tertiary hospital in Jiaxing.Bacterial identification,drug sensitivity test and environmental hygiene monitoring were also conducted.Results In one month,6 patients with postoperative infection after radical mastectomy were found in this hospital.Five patients had Staphylococcus aureus infections by bacterial culture of incision secretion,and the drug sensitivity spectrum was inconsistent.All patients with incision infection underwent surgery by the same doctor.No Staphylococcus aureus was detected in environmental hygiene monitoring samples.Conclusions The cause of the infection may be related to the Staphylococcus aureus colonizated in the hands of the surgeons.
作者
韩超
薛丽
陆翔
Han Chao;Xue Li;Lu Xiang(Department of Breast,the First Hospital of Jiaxing,Jiaxing 314001,Zhejiang,China)
出处
《国际流行病学传染病学杂志》
CAS
2020年第6期548-550,共3页
International Journal of Epidemiology and Infectious Disease
关键词
外科伤口感染
乳腺癌根治术
流行病学调查
Surgical wound infection
Radical mastectomy
Epidemiological survey