外科手术切口感染因素分析

Risk Factors of Surgical Incision Infection

目的了解医院切口感染的发生情况,分析发生医院切口感染的相关因素,为更好地预防与控制切口感染提供依据。方法采用回顾性调查方法,对2008-2009年10 883例手术病例进行调查分析。结果切口感染170例,感染率为1.56%,其中胃肠外科的感染率最高(4.16%);急诊手术切口感染率为35.29%,低于择期手术;春季发生的感染最多(32.35%);41例选择术中预防性使用抗菌药物(24.12%),52例(30.59%)则选择在术后才开始使用抗菌药物。结论手术切口感染的发生与手术部位、手术季节、抗菌药物不合理使用等因素有关。

OBJECTIVE To investigate the situation of infection of surgical incision in hospitals and the related factors of surgical incision infection,to provide bases for the better prevention and control of the incision infection.METHODS A retrospective investigation was given to the 10883 case data from Jan 2008 to Dec 2009.RESULTS There were totally 170 cases with surgical incision infection.The infection rate was 1.56%,among which the infection rate in gastrointestinal surgery department was the highest（4.16%）.The infection rate after emergency surgery（35.29%） was lower than after planning operations.The infection rate in spring was higher than the other seasons.There were 41 cases（24.12%） for antibiotic prophylaxis application during the operation,and 52 cases（30.59%） after operation.CONCLUSION The infection of surgical incisions is correlated with surgical site,season and irrational application of antibiotics.