手术室与消毒供应中心整合管理对腹部手术切口感染率的影响

Impact of operating-room and sterilization-supply center integrating system on abdominal surgical site infection

目的:评论应用手术室与消毒供应中心整合管理系统(OASIS)后,对腹部手术切口感染(SSI)的影响。方法:我院自2002年6月实施OASIS管理系统。本文回顾性分析实施此系统前、后外科腹部SSI的变化情况。结果:采用OASIS系统后,腹部SSI从2001～2002年的7.01%降至2006年的0.60%(χ2=110.66,P<0.005),具有统计学差异。结论:OASIS模式有效地重新整合了我院手术室、清洁消毒部门和供应部门的人力、物力及财力资源;专业化地整合了器械清洗、消毒、运送、储藏及供应的过程,从而简化并优化了整个工作流程,显著提高了消毒灭菌质量,有利于外科腹部SSI的控制。

Objective To evaluate the impact of operating-room and sterilization-supply center integrating system （OASIS） on surgical site infection（SSI） in abdominal surgery. Methods The change of SSI in abdominal surgery from the adoption of OASIS in June 2002 to 2006 was analyzed retrospectively. Results The SSI rate before the adoption of OASIS during 2001-2002 was 7,01%, while that of 2006 was reduced to 0.60%（Χ^2=110.66, P〈0.005）, the difference being very significant statistically. Conclusions OASIS brings a very meaningful change in terms of man-power, working quality and cost-effectiveness. It helped significantly reducing the SSI rate in abdominal surgery.