骨科无菌手术切口感染临床分析及护理对策

Clinical analysis of orthopaedic sterile surgical incision infection and nursing countermeasures

目的探讨骨科无菌手术切口感染的危险因素及护理对策。方法对24 106例骨科无菌手术患者进行前瞻性监测和回顾性调查。结果有119例患者发生手术切口感染,感染率为0.49%,手术切口感染部位以股骨、胫、腓骨、脊柱为主,分别占31.93%、19.33%、17.65%;医院感染的病原菌以革兰阳性球菌为主,占69.79%。结论分析骨科手术切口感染的危险因素,加强对感染源的监测,严格无菌操作,合理使用抗菌药物,保护易感人群是防止医院感染的有效措施。

OBJECTIVE To explore the risk factors and nursing countermeasures for orthopaedic sterile surgical incision infection. METHODS A total of 24106 cases of orthopedic surgical patients were prospectively monitored and respectively analyzed. RESULTS Totally 119 cases were with incision infections, accounting for rates for 0.49%, the major surgical incision infection sites were the femur （31.93%）, tibial, fibular （19.33%） and spine （17. 65%）, respectively. The bactieria causing nosocomial infection were mainly Gram-positive staphylococcus bacteria, accounting for 69. 79%. CONCLUSION Analyzing the risk factors for wound infection orthopaedic surgery, strengthening the monitoring to the infeccious sourse, implementing the strict aseptic operation and rationally use antibiotics and protecting the susceptible group are the effective method to prevent nosocomial infection.