摘要
目的了解外科手术切口医院感染的危险因素，降低感染率。方法采取前瞻性和回顾性调查的方法，诊断标准按卫生部2001年颁布的《医院感染诊断标准》为诊断依据。结果2007年1月-2008年12月共监测手术患者6926例，发生医院感染208例，感染率3．00％；感染率高的前3位科室是骨外科5．48％、胸外科4．19％、泌尿外科2．93％，与手术类型、基础疾病、手术器械清洗、环境物体表面工作人员手消毒灭菌有关。结论预防手术切口医院感染要加强Ⅱ、Ⅲ类切口的清创、基础疾病的治疗、手术器械清洗质量的管理，以及环境、物体表面、医务人员手的消毒和医疗废物的管理等措施。
OBJECTIVE To identify risk factors for post operative infection of surgical incisions to reduce infection. METHODS A prospective and retrospective clinical survey was carried out. The diagnosis of post operative infection was made according to Diagnostic Criteria of Hospital-acquired Infection by the Ministry of Health. All patients diagnosed to have post operative infection were treated appropriately. RESULTS From Jan 2007 to Dec 2008, 6926 surgical operations were performed and 208 cases were diagnosed to have infection. The overall incidence of post-operative infection was 3%. The highest infection rates were in patients who received orthopedic （5.48%）, thoracic （4.19%） and urologic （2.93%） procedures. Factors affecting the post-operative infection rate included the type of procedures, underlying pathology, disinfection skills, applied equipment, operating room and staff involved in the operations. CONCLUSIONS In order to reduce and prevent post-operative infection of surgical incisions, strict protocols must be followed, particularly in the pre-operative management of type Ⅱ and Ⅲ incisions and the underlying diseases. In addition, the quality of disinfection has to be improved.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第2期204-206,共3页
Chinese Journal of Nosocomiology
关键词
手术切口
医院感染
监测控制
Surgical incision
Hospital-acquired infection
Infection control
