摘要
目的分析SSI信息化监测结果及感染特征,为脊柱手术的SSI监测和预防提供理论依据。方法对2017年9月-2022年8月于我院行脊柱手术患者进行SSI信息化目标性监测,分析SSI发生情况、病原菌培养结果及不同病区、医生感染手术专率。结果共监测脊柱手术15933例,发生SSI 151例,发生率为0.95%;表浅切口感染55例(36.42%),深部切口感染88例(58.28%)、器官腔隙感染8例(5.30%);151例感染手术的75%分位手术时间为198.00 min,术后90 d内发生SSI 139例(92.05%)。151例SSI患者送检的切口分泌物中培养出阳性结果112例,主要以表皮葡萄球菌属、大肠埃希菌、金黄色葡萄球菌为主;各级手术NNIS感染率随着感染风险增加而逐渐增加,NNIS0级手术感染专率为1.05%,NNIS3级感染专率为10.00%,调整感染发病专率最高为脊柱二病区,最低为脊柱一病区,组间比较,差异有统计学意义(P<0.05);医生调整感染专率最高达到17.86%,最低为0,而手术例数最多的医生G感染专率为2.30%,各手术医生的感染专率存在差异。结论通过信息化监测可有效获取脊柱手术SSI数据,多数SSI发生于术后90 d内,以表皮葡萄球菌属、大肠埃希菌、金黄色葡萄球菌为主;各病区、医生之间对手术SSI感染预防重视程度不同、医生手术技巧熟练程度不同导致其SSI发生率之间存在差异。
Objective To analyze the results of SSI information monitoring and infection characteristics,and to provide theoretical basis for SSI monitoring and prevention in spinal surgery.Methods SSI information targeted monitoring was performed on patients undergoing spinal surgery in our hospital from September 2017 to August 2022.The incidence of SSI,the results of pathogen culture and the rate of surgical infection in different wards and doctors were analyzed.Results A total of 15933 cases of spinal surgery were monitored,and 151 cases of SSI occurred,with an incidence of 0.95%.There were 55 cases(36.42%)of superficial incision infection,88 cases(58.28%)of deep incision infection and 8 cases(5.30%)of organ space infection.The 75%quantile operation time of 151 cases of infectious surgery was 198.00 min.SSI occurred in 139 cases(92.05%)within 90 days after operation.A total of 112 positive results were cultured from the incision secretions of 151 SSI patients,mainly Staphylococcus epidermidis,Escherichia coli and Staphylococcus aureus.The infection rate of NNIS in all levels of surgery increased gradually with the increase of infection risk.The infection rate of NNIS0 was 1.05%,and the infection rate of NNIS3 was 10.00%.The highest adjusted infection rate was the second spinal ward,and the lowest was the first spinal ward.The difference between the groups was statistically significant(P<0.05).The highest adjusted infection rate of doctors was 17.86%,and the lowest was 0,while the infection rate of doctors with the largest number of surgical cases was 2.30%,and the infection rate of each surgeon was different.Conclusion SSI data of spinal surgery can be effectively obtained through information monitoring.Most SSI occurs within 90 days after surgery,mainly Staphylococcus epidermidis,Escherichia coli and Staphylococcus aureus.There are differences in the incidence of SSI among different wards and doctors due to the different emphasis on the prevention of SSI infection and the different proficiency of doctors'surgical skills
作者
刘滨
韦婵
唐玲利
银琼
LIU Bin;WEI Chan;TANG Ling-li;YIN Qiong(Department of Infection Management,Liuzhou Workers'Hospital,Liuzhou 545005,Guangxi,China)
出处
《医学信息》
2023年第7期74-78,共5页
Journal of Medical Information
基金
广西医药卫生科研课题(编号:Z20190176)。
关键词
脊柱手术
手术部位感染
术后感染时间
医生感染专率
Spine surgery
Surgical site infection
Postoperative infection time
Doctor infection rate
