外科手术部位感染的目标性监测分析

Target surveillance and analysis of surgical site infections

目的评价外科手术部位感染控制效果。方法采用前瞻性调查方法,选择2009-2010年妇产科和骨伤科的手术患者的手术切口感染情况进行调查。结果 2年共监测手术患者1691例,其中剖宫产手术病例1173例,发生手术部位感染5例,感染率0.30%,以手术创伤较大、有植入物的、手术危险程度较高的关节置换术感染率最高,为2.22%;在所有病例中术后均应用预防性抗菌药物。结论采用手术切口目标性监测和干预措施,可以有效降低手术部位感染率。

OBJECTIVE To estimate control measures of surgical site infections.METHODS Surgical site infections of surgical patients in the department of gynaecology and obstetrics and department of orthopaedics and traumatology in 2009-2010 were investigated,by forward-looking survey methodology.RESULTS Totally 1691 surgical patients were surveyed in the past 2 years.The cases of uterine-incision delivery were 1173,among which were 5 surgical site infections and infection incidence rates were 0.30%.The highest infection rate（2.22%） was found in patients with surgical trauma to the largest,implants,more dangerous joint replacement.The prophylactic antibiotics were used in all cases.CONCLUSION Target surveillance and intervention measures are used to decrease effectively rates of surgical site infections.