某院清洁手术切口感染的高危因素状况调查

Investigation of High Risk Factors in Clean Incision Operation of a Hospital

考察某院清洁切口手术围手术期预防用抗菌药物的高危因素状况,以促进清洁切口手术的合理用药。采用回顾性调查方法调取大连医科大学附属第一医院8月份的所有清洁切口手术病例,统计清洁切口手术患者的高危因素状况、用药情况,并进行评价。结果2012年8月份手术出院患者总病例数为1 466例,其中清洁切口的病例数为1 097例,存在高危因素621例,占清洁切口手术的56.6%。重点监测的清洁切口手术中腹股沟疝修补术(包括补片修补术)、甲状腺疾病手术、乳腺疾病手术无高危因素用药占各自手术病例总人数的比例较高。我院清洁切口手术高危因素比例高,因此预防用药比例较高,但无高危因素用药比例不高。

To investigate the situation of high risk factors application of antimicrobial agents in clean incision operation dur- ing peri-operative period, to assess its reasonableness, a retrospective study was conducted in clean incision operation pa- tients of the First Affiliated Hospital of Dalian Medical University in August, count the high--risk factor conditions and antimicrobial agents application conditions of these patients according to the correlation references. The total number of operations in August of 2012 is 1 466, the number of clean incision is 1 097, the number of high risk factors operations is 621, which was 56.6% of clean incision. In the intensive monitoring operation, Inguinal herniorrhaphy （including patch suture）, Mammary gland disease surgery, thyroid disease surgery, the application of antimicrobial agents of no high risk factors have higher percentage of their total number respectively. The proportion of high risk factors in clean incision oper- ations of our hospital is high, so the proportion of the application of prophylactic antimicrobial agents is high, but no risk factors for drug use proportion is not high.