手术切口感染目标性监测分析

Targeted Monitoring and Analysis of Surgical Site Infection

目的研究外科手术部位感染控制措施。方法采用前瞻性调查方法,选择外科手术患者(包括妇产科)进行手术切口感染率跟踪调查分析。结果以手术创伤最大、手术时间最长、手术危险程度最高的冠状动脉搭桥术感染率最高,达2.67%;在所有发生手术部位感染的11例病例中,只有1例在术前麻醉诱导期应用抗菌药物,术后用药有10例均为抗菌药物使用>4 d;术前、术后抗菌药物围术期正确使用率仅为9.09%,感染率与手术创伤的大小、手术时间、手术危险程度、围术期抗菌药物正确使用时间相关。结论采用手术切口目标性监测,不断调整干预措施,可将手术切口感染率降低。

OBJECTIVE To study on control measures of surgical site infection. METHODS By forward-looking survey methodology, surgical patients （including obstetrics） with surgical incision infection were investigated. RESULTS The highest infection rate （2.67 %） were found in patients with surgical trauma to the largest, longest operation time, coronary artery bypass grafting. In 11 cases surgical site infections, only 1 case were given antibiotics before anesthesia, 10 cases were administrated antibiotics post operation more than 4 days. The correct rate of preoperative and postoperative usage of antibiotics was only 9.09 %. The size of surgical trauma, operative time, perioperative usage of antibiotics were related to the infection rate. CONCLUSIONS Target monitoing of the surgical site infection can decrease the infection rate.