恶性肿瘤患者手术部位感染的监测与分析

Monitoring and control of nosocomial infection at surgical sites for patients with malignancy

目的 监测手术部位感染发生的相关因素，降低感染率。方法 采用前瞻性的目标性监测法，对260例恶性肿瘤择期手术患者进行手术部位感染的监测与分析。结果260例患者发生手术部位感染21例，感染率为8．1％，比国内报道的外科手术部位感染率13％～18％低。结论 对手术部位进行目标性监测，将监测、预防和控制有效地结合起来，可显著降低手术部位感染的发生，从而提高医疗质量，减轻患者的经济负担。

Objective To reduce nosocomial infection of surgical sites by monitoring and control of risk factors. Methods Two hundred and sixty patients underwent selective surgery for malignancy from January, 2007 to October, 2007 in our hospital, The risk factors for surgical site infection were analyzed and managed with a prospective target monitoring system, Results Of 260 patients,21 had infections at surgical sites with an infection rate of 8.1 % ,which was lower than that reported in the literature （13%-18%）, Conclusion Using prospective target monitoring system the nosocomial infection rate at the surgical sites can be reduced effectively.