外科手术切口感染调查及对策  

Incision Infection in Surgical Operation: Investigation and Strategy

作　　者：吴养[1] 杨雪英[1] 吴春辉[1] 李涛[1] 

机构地区：[1]湛江中心人民医院,广东湛江524037

出　　处：《中华医院感染学杂志》2006年第7期758-760,共3页Chinese Journal of Nosocomiology

摘　　要：目的 探讨外科手术感染情况，加强手术后的观察及抗菌药物的合理使用。方法对11 208例手术患者采用回顾性医院感染调查，全面阅读病历，以中华人民共和国卫生部2001年1月下发的《医院感染诊断标准（试行）》为诊断依据。结果 2000年1月1日~2004年12月31日，在我院实行手术患者共计11208例次，发生手术切口感染275例次，感染率2．45％；手术切口感染病原菌监测为G-杆菌72株（78．26％），G’球菌20株（21．74％）。结论 预防手术切口感染，除了认真作术前准备和皮肤消毒，还须在手术操作时注意严格无菌操作技术，正确进行切口及切开空腔时术野保护等是关键。OBJECTIVE To explore the infection situation of surgical operation and enhance postoperative observation and rational use of antibiotics. METHODS Totally 11 208 cases after surgical operation were investigated retrospectively. The diagnosis standard was based on the Diagnosis Standard of Hospital Infection （Draft） published by Ministry of Health, the Peoplers Republic of China in Jan 2001. RESULTS There were 11 208 cases after surgical operation from Jan 1, 2000 to Dec 31, 2004 in our hospital and 275 cases suffered incision infection, there infection rate was 2.45 ~. The pathogenic bacteria of incision infection were confirmed as G- bacilli （72 strains, 78.26%）, and G＋ cocci （20 strains, 21.74%） . CONCLUSIONS The key points of prevention of incision infection are sterile operation, protection of operation field when incising cavity organ, inside sterilization, flushing of abdominal cavity and incision, change of contaminated apparatus, gloves and dressing promptly, selection of suture line and suture technique, besides the serious operation preparedness and skin sterilization.

关 键 词：手术切口 医院感染 预防控制 抗菌药物 

分 类 号：R619.3[医药卫生—外科学]