某院普通外科手术切口感染目标性监测 FREE

Targeted surveillance on surgical wound infection in patients in a general surgery department FREE

摘要:

目的对某院普通外科手术患者进行医院感染目标性监测，了解其手术切口感染情况，以采取有效措施降低切口感染率。方法采用前瞻性调查方法，对每例手术患者进行危险因素指数评价，并进行手术医生感染专率统计。结果193例普通外科手术患者切口感染发生率为6.74%（13/193）。切口感染率居前3位的手术依次为胆囊切除术（20.00%）、胃肿瘤根治术（16.67%）、肠道修补/切除术（16.00%）。切口类型、年龄、手术持续时间等手术危险因素的不同，手术切口感染率差异有显著性（P＜0.05或P＜0.01）。结论该院普通外科手术切口感染率较高，其发生与患者切口类型、年龄、手术持续时间相关。

Abstract:

ObjectiveTo carry out targeted surveillance on surgical wound infection(SWI) in patients in a general surgery department of a hospital, so as to take effective measures to reduce the  SWI rate. MethodsProspective survey was performed to evaluate  risk factor indexes of each patient, and a targeted surveillance of surgeonspecific infection  rate were  given statistical analysis. ResultsAmong 193 patients with surgical operations,  SWI rate was 6.74%(13/193)，the first three operations were cholecystectomy(20.00%), radical operation of gastrointestinal tumors (16.67%) and intestinal tract neoplasty/excision(16.00%). There was significant difference  between the types of the surgical wound, age of patients, the duration of operations and the degrees of risk indexes respectively (P<0.05 or P<0.01). ConclusionSWI rate in patients in department of general surgery in this hospital is high， the infection rate is related with the types of operation，age of patients and the duration of operation.