心脏外科手术部位感染目标监测分析  

Analysis on target surveillance of cardiac surgical site infection

作　　者：吴克慧[1] 魏凌华[1] 

机构地区：[1]武汉亚洲心脏病医院,湖北武汉430022

出　　处：《中国感染控制杂志》2007年第2期106-108,共3页Chinese Journal of Infection Control

摘　　要：目的了解某院心脏外科手术部位感染情况及其危险因素。方法采用前瞻性监测的方法,调查2005年度2981例心脏外科手术患者病历资料。结果2981例患者发生手术部位感染9例10例次,手术部位感染率为0.30%,例次感染率为0.34%;50%的手术部位感染发生在出院后患者。以冠脉搭桥和手术持续时间≥4h者手术部位感染率最高,前者为0.83%,后者为1.56%。革兰阳性球菌是手术部位感染的主要病原菌,1例罕见的放线菌引起表浅切口感染。结论加强手术医师手术技能的训练,是控制清洁手术手术部位感染的关键;医务人员应高度重视对出院后手术部位感染的监测和罕见放线菌引起的感染。Objective To investigate cardiac surgical site infection（SSI） occurred in a hospital and analyse the risk factors. Methods Cardiac SSI occurred among 2 981 patients in 2005 was investigated retrospectively. Results Nine of 2 981 patients occurred 10 cases of SSI, SSI rate was 0. 30%, case infection rate was 0. 34%; 50% SSI occurred in discharged patients. The infection rate was the highest in patients who had been performed coronary bypass and received operation lasting ≥4 hours, which was 0. 83% and 1.56% respectively. Gram- positive cocci was the main pathogen, one case of superficial infection was caused by Actinomyces. Conclusion The key to the control of clean SSI was to strengthen the surgeons training in operation skill; health care workers should pay attention to the infection caused by Actinomyces and surveillance on SSI after patients are discharged out of hospital.

关 键 词：心脏外科手术 手术部位感染 医院感染 危险因素 目标监测 

分 类 号：R654.2[医药卫生—外科学]