摘要
目的了解我院普外科腹部手术切口感染率,探讨腹部手术切口感染有效预防控制措施,降低感染率。方法以《医院感染诊断标准(试行)》为诊断标准,采用回顾性调查,统计、分析调查结果,查找腹部手术切口主要危险因素,采取相应的预防控制措施,同时进行前瞻性监测。结果2003年1月1日-2004年12月31日在我院普外科实行腹部手术共1187例,发生切口感染92例,切口感染率7.75%。其中Ⅰ、Ⅱ、Ⅲ类切口感染率分别为1.12%(3/267)、8.24%(56/680)、13.75%(33/240);2005年4月1日-2007年3月31日在我院普外科实行腹部手术共1520例,切口感染61例,切口感染率为4.01%,其中Ⅰ、Ⅱ、Ⅲ类切口感染率分别为0.48%(2/420)、6.77%(38/790)、6.77%(21/310)。结论加强手术间空气质量控制;严格术中无菌操作、做好切口和手术野保护;适当的腹腔和切口的冲洗与引流;术中进行病原学和药敏标本采集、合理围手术期预防性应用抗菌药物;术前患者的充分准备,是预防和控制切口感染的关键。
Objective To learn about the infection percentage of the abdominal operation of common surgical department in our hospital, and then, to discuss the effective measure to prevent the infection by the surgical abdominal operation. Methods Based on the principles of the Hospital Infection Diagnosis Standard（Implementation） , the paper , applying for the way of the reinvestigation and statistics, tries to analyzes the datas of the investigation, and then to look for the dangerous factors which could lead to the infection,lastly, to adopt a good way to prevent the the dangerous facts, at the same time, to inspect the development of the case beforehand. Results From January 1,2003 to December 31,2004 , the total numbers of the abdominal surgery patients are 1187 in the common surgical department in our hospital , however, case numbers of the incision infection are only 92,The infection percentage is 7.75%. Among them, the I ,Ⅱ,Ⅲ kinds of incision infection percentages respectively is 1.12% （3/267）, 8.24% （56/680）, 13.75% （33/240）. From April 1, 2005 to March 31, 2007, the total numbers of the abdominal surgery patients are 1520 in the common surgical department in our hospital , the case numbers of the incision infection are 61. The infection percentage is 4.01% , and the I ,Ⅱ,Ⅲ kinds of incision infection percentages respectively are 0.48% （2/420）,6.77%（38/790）,6.77% （21/310）. Conclusion From the study above, the essential ways can be found to prevent the incision infection as the following： Strengthening the control of the air quality in the surgery room, obeying to the technique of the aseptic operation strictly, completing the wild protection of the surgery incision, Suitable washing and drainaging of the abdominal cavity and the incision, gathering the etiology and sensitive medicine specimen in the operation, applying the antibiotics in the surgery time and the patients preparing time before the operation.
出处
《医药论坛杂志》
2008年第3期32-34,共3页
Journal of Medical Forum
关键词
手术切口
医院感染
预防控制
Surgical incision
Hospital infection
Prevention and control
