摘要
目的探讨整形外科手术室医院感染的影响因素,为预防感染提供依据。方法对2008年2月-2012年5月4231例整形外科进行手术患者进行调查,回顾性分析手术感染患者临床资料,包括合并基础疾病、切口暴露时间、手术部位及围手术期用药等。结果调查患者4231例中感染15例,感染率为0.35%;手术室的菌落数、人员的流动、器械的清洁程度、无菌操作以及手术室消毒、手术室温度、湿度、年龄、手术时间以及患者合并基础疾病是导致患者感染的单一危险因素,手术时间、手术室菌落数、手术室参观人员以及合并糖尿病等是导致患者感染的独立危险因素。结论对手术室严格控制感染危险因素的发生,可明显降低整形外科手术感染的可能性。
OBJECTIVE To explore risk factors for nosocomial infections in operating room of plastic and reconstructive surgery department so as to provide basis for the prevention of nosocomial infections METHODS A total of 4.321 cases of patients who underwent plastic surgery from Feb 2008 to May 2012 were enrolled in the study, then the clinical data of the patients with infections, including the underlying diseases, time of exposure to incision, surgical site, and perioperative medication, were retrospectively analyzed~ RESULTS Of totally 4321 cases of Patients investigated, the nosocomial infections occurred in 15 cases with the infection rate of 0. 35%. The bacterial colony counts in operating room, mobility of personnel, cleanliness of instruments, aseptic operation, disinfection of operating room, temperature and humidity in operating room, age, operation duration, and complication of underlying diseases were the risk factors for the nosocomial infections; the operation duration, bacterial colony counts, frequent visits to operating room, and complication of diabetes were the independent risk factors for the nosocomial infections. CONCLUSION To strictly control the risk factors for the infections can significantly reduce the risk of infections in the patients undergoing plastic surgery.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第21期5215-5216,5227,共3页
Chinese Journal of Nosocomiology
基金
国家自然科学基金资助项目(30872688)
关键词
整形修复
医院感染
影响因素
Plastic and reconstructive
Nosocomial infection
Risk factor