外科手术部位感染前瞻性监测

Prospective surveillance on surgical site infection

摘要:

目的了解某院外科手术部位感染的临床特点，制定合适的预防与控制措施，降低感染率。方法分析该院2006年1月—2009年12月间外科手术部位感染前瞻性监测资料。结果共监测手术患者22 237例，发生手术部位感染325例，感染率1.46%；手术部位感染率高的前3位科室为泌尿外科（2.69%）、骨外科（2.20%）、胸外科（1.97%）；感染的主要病原菌依次为肺炎克雷伯菌（19.29%）、大肠埃希菌（17.26%）和金黄色葡萄球菌（10.66%）。结论应加强对手术部位感染高发科室和主要感染病原菌的监测，采取相应干预措施，降低感染的发生率。

Abstract:

ObjectiveTo investigate the clinical characteristics  of surgical site infection(SSI) in a hospital ,so as  to reduce infection rate by making  appropriate prevention and control measures .MethodsSurveillance information of SSI in  patients from January 2006 to December 2009 was analysed prospectively.ResultsA total of 22 237 patients with surgical operations were monitored , 325(1.46%)  of whom developed SSI； The top three departments with infection rates were  urologic department(2.69%), orthopedics department(2.20%), and thoracic department(1.97%); The main isolated bacteria were Klebsiella pneumoniae(19.29%), Escherichia coli(17.26%) and Staphylococcus aureus(10.66%). ConclusionMonitoring  on departments with high risk factors and  main pathogens of  SSI should be intensified , intervention   measures for SSI should be adopted , and   the incidence of SSI can be reduced effectively.