111例外科手术切口感染调查及防范措施

Incision Infection after Operation:An Investigation of 111 Cases and Prevention Measures

目的总结外科手术切口感染发生情况和相关因素,探讨防范和减少外源性手术切口感染有效措施。方法应用回顾性调查研究方法,对2003年1月1日-2006年5月31日,出院的外科手术患者发生的切口感染进行调查分析。结果54 286例外科手术患者中发生手术切口感染111例,感染率0.21%,占所有外科手术医院感染病例的33.44%。结论手术切口感染是外科手术患者最常见的手术并发症之一,是医院缩短外科患者平均住院日、加快病床周转、减少住院费用的瓶颈,同时也是医院内及医院之间医疗技术质量和管理质量比较评价的重要指标,因此,必须采取措施,减少外科手术切口感染的发生,缓解患者住院难、治疗费用昂贵的矛盾。

OBJECTIVE To summarize the infection cases and the factors causing site infection after operations, and investigate the measures to prevent and reduce exogenous incision infection, METHODS Discharged patients from Jan 1st, 2003 to May 31st, 2006 in our hospital were investigated for retrospective analysis on incision infection cases. RESULTS Totally 111 incision infection cases were reported from 54 286 cases, The nosocomial infection rate in this cohort was 0, 21% （111/54 286）, which was 33.44% of total surgical incision infection cases, CONCLUSIONS Incision infection is one of the most commonly encountered concomitant symptoms, it is as well the bottleneck for our hospital to reduce average stay length of surgical patients and patients＇ hospitalization expenses, and to speed up turnover of beds. Incision infection rate is also an important criterion to evaluate the management quality and medical technology quality within and among hospitals. Effective measures should be taken to decrease incision infection rate and to resolve the problem that is difficult to hospitalize and expensive to treat.