摘要
目的为总结影响外科腹部手术切口感染的各种因素,提出防范措施,以控制手术切口感染,降低医院感染率。方法对我院外科近8年收治的腹部手术患者的切口感染相关因素进行回顾性与前瞻性调查分析。结果1 878例腹部手术,发生切口感染101例,感染率5.4%;其中:切口部位感染率以肠道手术最高(21.2%);切口类型感染率以Ⅲ类切口最高(9.0%);恶性肿瘤手术感染率(16.9%)明显高于良性疾病手术;男性感染率(6.4%)高于女性;>60岁年龄组感染率(10.4%)高于其他年龄组,夏季感染率(8.3%)高于其他季节;90%的主要病原菌对常用抗菌药物耐药。结论外科腹部手术切口感染的危险因素很多,主要与手术切口部位、切口类型、良恶性疾病分类、年龄、性别、季节、病原菌耐药性等关系密切;医务人员应针对各种相关因素采取相应的有效措施,减少手术切口感染。
OBJECTIVE To summarize the factors causing surgical site infection after abdomen operations, put forward prevention measures to control incision infection and reduce the infection rate in hospitals. METHODS Retrospective and prospective investigation on possible factors causing surgical site infection of abdomen operations in our hospital was conducted in the past 8 years. RESULTS One hundred and one cases of surgical site infection （5.4 % ） were reported from 1 878 patients. The highest infection rates were found after intestine operations （21.2 % ）, type Ⅲ incisions（9.0 % ）, and malignant tumor operations （16.9%）, and from male（6.4%）, elderly （〉60 years of age） groups （10. 4%）, and in summer season （8. 3 % ）, when existing antibiotic-resistant pathogenic germs （90%）, respectively. CONCLUSIONS The surgical site infection after abdomen operations is closely related to factors such as incision site, incision type. malignant or benign diseases; age, sex, and antibiotics-resistant pathogenic germs, etc. Effective measures should be taken accordingly to reduce the infection.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2006年第4期382-384,共3页
Chinese Journal of Nosocomiology
关键词
腹部手术
切口感染
相关因素
措施
Abdomen operation
Incision infection
Related factor
Measures
