116例住院患者Ⅰ类手术切口感染调查与分析

Survey of 116 Inpatients with Type 1 Incision Infection

目的对以往Ⅰ类手术切口感染病例做有关调查,为进一步降低Ⅰ类手术切口感染率提供有力的依据。方法收集我院1994年1月～2003年12月出院病历中的相关资料,对I类手术切口感染病例进行回顾性调查与分析。结果116例Ⅰ类手术切口感染中,以骨肿瘤科占首位,感染率为32.8%;83.6%感染者术前住院天数>11d;74%感染者手术时间>2h;手术切口异物植入感染者中引流物植入导致感染的占65.5%;感染病原菌种类中,以金黄色葡萄球菌占首位,32.2%。结论应加强围手术期管理,合理使用抗生素,控制手术时间,对手术植入物行安全性监测等。

OBJECTIVE Nearly 70% inpatients were needed to operate in Jishuitan Hospital, a large number of which belonged to type 1 incision. In view of this feature, investigation was made on cases with type 1 incision so that some more evidences were provided for the further decrease in infection rates with type 1 incision. METHODS Some data were collected from discharged patientsI medical records within the period from Jan 1994 to Dec 2003, and infected cases with type 1 incision were retrospectively investigated and analyzed. RESULTS Among 116 infected cases with type 1 incision, Department of Bone Tumor had the highest infection rate （32.8%） ; 83.6% of infected inpatients stayed in hospital more than 11 days before surgery; 74% underwent more than 2 hours operation time; 50.7% was infected after the drainage embedded into type 1 incision; 32.2% were infected by Staphylococcus aureus. CONCLUSIONS Many factors could lead to the infection of type 1 incision, the management during the surgery should be strengthened, such as; the use of antibiotics; the control of operation time and security monitoring of embedding process.