176例手术患者手术部位感染调查分析及对策

Investigation and countermeasures for surgical sites infections in 176 patients

目的探讨手术患者发生手术部位感染的相关因素。方法采取回顾性调查的方法对2009年1-12月176例住院>10d开腹手术的患者进行调查。结果 176例手术患者中,发生手术部位感染19例,感染率为10.8%;其中阑尾切除术的感染率为30.4%、全子宫切除术为9.4%、胆囊切除术为5.3%。结论加强医院感染监测,强化医务人员对医院感染的预防控制意识,规范手术操作行为,做好对手术患者术前、术中及术后的管理,合理使用抗菌药物等是控制手术部位感染的有力措施。

OBJECTIVE To study the related factors of surgical site infection in patients. METHODS A total of 176 patients with surgery and duration in hospital over 10 days from Jan 2009 to Dec 2009 were investigated retrospectively. RESULTS There were 19 surgical site infection cases in 176 patients,the incidence was 10.8%.The infection rates among appendectomy,hysterectomy,and cholecystectomy were 30.4%,9.4%,and 5.3%,respectively. CONCLUSION Strengthening the nosocomial infection surveillance,increasing the medical staff＇s realization about preventioning and controling nosocomial infection,regulating operative behaviors,reinforcing patients＇ preoperative,intraoperative and postoperative management and reasonably using antibacterial drugs are all the effective measures to control the surgical site infection.