摘要
目的调查本院创伤骨科手术部位感染(surgical site infection,SSI)患者的发病情况,并分析感染原因,为预防和控制SSI提供依据。方法选取本院自2015年1月至2019年12月期间创伤骨科所有住院手术患者为研究对象,共计10645例患者,依据卫生部2001年颁布的《医院感染诊断标准(试行)》进行医院感染病例诊断,并根据临床科室上报的医院感染资料信息进行病历筛选和回顾性分析。结果10645例创伤骨科手术患者中,31例患者发生SSI,感染发生率为0.29%。2016年至2019年感染发生率呈逐年下降趋势。感染的主要病原菌为G(+)球菌,占87.50%。感染类型主要是器官(或腔隙)感染,占61.29%。患者年龄、体重指数、手术时间、手术方式、手术部位与骨科手术患者SSI的发生有相关性(P<0.05)。结论创伤骨科手术患者SSI是临床上不可回避的问题,应重视相关危险因素,积极采取有针对性的预防控制措施改善可变因素,以有效降低骨科手术患者SSI的发生。
Background Surgical site infection(SSI)refers to nosocomial infections that occur in surgical incisions,deep organs or cavities after surgical operations,and is still one of the severe complications after modern orthopedic surgery.Despite good medical measures and surgical management,SSIs of orthopedic patients interfere with the functional recovery of motor system,prolong the length of hospital stay,increase the patient's financial burden,and seriously affect the quality of medical care and the patient safety.The widespread application of implants in orthopedic surgeries has increased the risk of invasive factors,making orthopedic patients at high risk of nosocomial infection.Objective To investigate the incidence of patients with SSIs in the department of traumatic orthopedics and traumatology in our hospital,and analyze the causes of the infection to provide evidence for the prevention and control of SSI.Methods From January 2015 to December 2019,a total of 10645 patients in the department of orthopedics and traumatology in our hospital were selected as the research subjects.Nosocomial infection cases were diagnosed according to the Nosocomial infection diagnostic criteria(trial)issued by the Ministry of Health in 2001.and the medical records were screened and retrospectively analyzed according to the information of nosocomial infection reported by our department.Results Among 10645 patients with orthopedic surgeries,31 patients were diagnosed as SSIs,and the SSI rate was 0.29%.From 2016 to 2019,the incidence of SSI showed a downward trend year by year.The main pathogenic infection was Gram-positive cocci,accounting for 87.50%.The major type of SSI was organ(or cavity)infection,accounting for 61.29%.Patient age,body mass index(BMI),operation time,operation method and operation site were correlated with the occurrence of SSI in orthopedic patients(P<0.05).Conclusions SSI is an unavoidable problem in patients with orthopedic surgery.We should pay attention to the relevant risk factors and actively take targeted preventive and control measures to improve modifiable factors in order to effectively reduce the incidence of SSI in orthopedic patients.
作者
王艳华
张晓萌
薛峰
陈建海
张培训
熊健
徐海林
党育
杨明
付中国
张殿英
Wang Yanhua;Zhang Xiaomeng;Xue Feng;Chen Jianhai;Zhang Peixun;Xiong Jian;Xu Hailin;Dang Yu;Yang Ming;Fu Zhongguo;Zhang Dianying(Department of Trauma and Orthopeadics,Peking University People's Hospital,Peking University,Traffic Medicine Center,Beijing 100044,China)
出处
《中华肩肘外科电子杂志》
2020年第1期62-67,共6页
Chinese Journal of Shoulder and Elbow(Electronic Edition)
基金
国家自然科学基金主任基金(31640045)
国家自然科学基金面上项目(31671246)
国家重点研发计划(2016YFC1101604)
教育部创新团队项目(IRT_16R01)
创伤救治与神经再生教育部重点实验室(BMU2019XY007-01)
北京大学临床科学家计划专项(BMU2019LCKXJ005)。
关键词
创伤骨科
手术部位感染
流行病学特点
危险因素
回顾性分析
Traumatic orthopedics
Surgical site infection
Epidemiological characteristics
Risk factors
Retrospective analysis
