摘要
目的了解引起骨科手术切口感染的因素,采取有效措施预防与控制骨科手术切口感染。方法分2个阶段对在洁净手术室进行的骨科手术切口进行监测,第1阶段即2008年3月1日-12月31日(调查阶段),主要调查感染情况及相关因素;第2阶段即2009年1月1日-5月31日(干预阶段),根据前阶段的调查结果对可干预的相关因素进行干预。比较两阶段的感染率。结果调查阶段的手术切口感染率为5.07%(23/454),干预阶段的手术切口感染率为1.41%(3/213),干预阶段切口感染率显著降低(x^2=4.25,P<0.05)。结论加强洁净手术室的管理、保证手术器械及用物灭菌质量、围手术期合理使用抗菌药物、正确进行外科手消毒、严格执行换药操作规程、提高医护人员感染控制意识等干预措施可有效预防与控制骨科手术切口感染。
Objective To study the factors which cause incisional wound infection after bone surgery, and take effective measures to prevent and control bone surgical infection. Methods Bone surgical incision performed in clean operating room were monitored during two stages, the first stage was March 1, 2008 - December 31, 2008 （ investigation stage）, the occurrence of infection and related factors were investigated; the second stage was January 1, 2009- May 31,2009 （intervention stage）, related factors according to the investigated results were intervened. Infection rates in two stages were compared. Results Incisional wound infecton rate in investigation and intervention stage was 5. 07% （23/454） and 1.41 % （3/213） respectively, infection rate in intervention stage decreased obviously （x2 = 4. 25, P〈0. 05）. Conclusion Effective prevention and control of bone surgical incisional wound infection can achieve through management of clean operating room, qualified sterilization of operation instruments and relative material, rational use of peri-operative antimicrobial agents, correct surgical hand disinfection, strict rules of dressing, and raising of health care workers＇ awareness about infection control.
出处
《中国感染控制杂志》
CAS
2010年第2期106-108,133,共4页
Chinese Journal of Infection Control
关键词
骨科
切口感染
目标监测
干预
感染控制
bone surgery
incisional wound infection
targeted monitor
interference
infection control
