手术部位感染控制

Surgical Site Infection Control

目的探讨手术部位感染的危险因素,为控制感染提供依据。方法加强组织管理与培训,重视医护人员手与患者术前皮肤消毒,正确执行无菌操作,严格清洗消毒手术器械,增强围手术期患者管理等措施。结果调查74所医院,由于手术区域皮肤准备及消毒方法不当致不需备皮而备皮的医院占16%;未做到术前抗菌沐浴的医院占20%;备皮时间选择不当的医院占64%。结论做好手术部位监控工作是预防手术部位感染的重要手段,加强围手术期患者的管理是控制感染的关键。

OBJECTIVE To discuss the risk factors of surgical site infection and to provide the basis for the infection control. METHODS Strengthening the organization management and training emphasizing the measures such as the skin disinfection of the medical care personnel hands and the patients before operation, carrying out the asepsis operation correctly, cleaning the disinfection surgery instrument strictly and enhancely the management of perioperative patients were carried out. RESULTS Of the 74 investigated hospitals, 16% were unqualified in preparing or over-preparing skin and the disinfection method; 20% were without antibacterial bathes before operation and 64 % were improper time of in skin preparing. CONCLUSIONS Well monitoring of surgical site is the important means to prevent the surgical-site infections, and enhancing management of perioperative patients is the key to control infection.