普外科及眼科Ⅰ类手术切口感染目标性监测

Targeted monitoring of type Ⅰ incision infections in general surgery department and ophthalmology department

目的对普外科及眼科Ⅰ类手术切口患者进行医院感染目标性监测。方法 2011年7月1日-12月31日运用目标性调查方法,对普外科、眼科Ⅰ类手术切口感染患者临床资料进行实时跟踪监测,并对监测科室进行主动干预前后的感染发生率等数据进行比较分析。结果 2011年7-9月100例Ⅰ类手术切口患者发生感染2例,感染率为2.00%,感染手术为大隐静脉曲张高位结扎抽剥术、乳腺包块切除术各1例;10-12月的239例Ⅰ类手术切口患者发生感染1例,感染率为0.42%,感染手术为大隐静脉曲张高位结扎抽剥术;发生感染的手术危险指数为0～1;半年期间Ⅰ类手术切口患者感染率明显下降。结论对不同危险指数手术患者进行针对性主动干预,实施全程监测跟踪,及时控制和降低危险因素。

OBJECTIVE To perform the targeted monitoring of nosocomial infections in the patients undergoing type Ⅰ incision surgery in the general surgery department and the ophthalmology department.METHODS By the means of the targeted survey from Jul 1st 2011 to Dec 31st 2011,the real-time tracking was carried out for the clinical data of the patients with type Ⅰincision infection in the department of general surgery and the ophthalmology department,the data including as such the incidence of the infections were statistically analyzed before and after the initiative interventions.RESULTS Of 100 patients undergoing type Ⅰincision surgery from Jul to Sep 2011,the incision infections occurred in 2 cases with the infection rate of 2.00%,as were 1 case undergoing the great saphenous vein high ligation stripping surgery and one case undergoing breast mass excision,there was 1 of 239 patients with the incision infections from Oct to Dec with the infection rate of 0.42%,the infection surgery was the great saphenous vein high ligation stripping surgery.The surgical risk index for the infections ranged between 0 and 1.The incidence rate of the typeⅠincision infections decreased significantly in half of the year.CONCLUSION The targeted and initiative interventions to the patients with various surgical risk indexes for infections,whole-process monitoring and tracking,and timely control and cut of the risk factors are effective in reducing the incidence of incision infections.