外科手术后医院感染分析

An Analysis on Nosocomial Infection after Surgical Operation

目的分析外科手术后医院感染特点,探究预防措施。方法采取前瞻性与回顾性调查相结合的方法对某院外科2298例住院患者手术后医院感染情况进行调查分析。结果外科手术后医院感染率为2.70%,例次感染率为3.09%;Ⅰ、Ⅱ、Ⅲ类切口手术后医院感染率差异无统计学意义(P>0.05);医院感染部位构成以下呼吸道居首(61.97%),其次为手术部位(23.94%)。结论为减少手术后医院感染的发生,应改善肺功能,尽早拔除气管插管,缩短手术持续时间及术前住院日,严格遵守无菌技术操作规范,加强术后护理,合理使用抗菌药物。

OBJECTIVE To analysis the feature of nosocomial infection after surgical operation and explore the measures to prevent it. METHODS Repective and retrospective study was carried out to investigate the occurrence of nosocomial infection of 2298 inpatients who had been taken surgical operation in some surgical departments. RESULTS The nosocomial infection rate was 2.70% and site rate was 3. 09 %;there were no significent difference between operative incisions of I , Ⅱ , Ⅲ （P〉0.05） ;the main infection site was lower respiratory tract（61.97%）, followed by surgical site infection（SSI） （23.94%）. CONCLUSIONS In order to reduce postoperation nosocomial infection rate, we should take following measures .. Improve pulmonary function, remove tracheal intubation as early as possible,shorten lasting time of surgery and days before operation, keep aseptic technique, strengthen nursing, enhance immunity, and use antimicrobial agents reasonably.