本院近5年腹部手术切口感染的调查  

Investigation of incision infection after abdominal surgery in our hospital in recent 5 years

作　　者：朱京华[1] 童红雨[1] 

机构地区：[1]江汉油田总医院,湖北潜江433124

出　　处：《基层医学论坛（B版）》2007年第6期485-486,共2页Public Medical Forum Magazine

摘　　要：目的探讨腹部外科手术感染情况,加强手术后的观察及抗生素的合理使用。方法对本院近5年做腹部手术患者病历行回顾性调查,前瞻性监测手术切口感染状况,以《医院感染诊断标准(试行)》为诊断标准。结果5年来,在我院实施腹部手术患者共计3679例,发生手术切口感染138例,感染率3.75%;手术切口感染病原菌G-杆菌63株(占68.48%),G+球菌19株(占20.65%),真菌10株(占10.87%)。结论严格无菌操作技术、预防手术切口感染、正确进行切口及切开空腔时术野保护;腹腔、切口冲洗;及时更换污染器械、手套、敷料;切口缝线选择、缝合技术等是预防切口感染的关键。Objective To explore the infection situation situation of abdominal surgery and enhance postoperative observation and rational use of antibiotics. Methods Clinic records of having finished abdominal surgery in our hospital in recent 5 years were investigated retrospectively and the monitoring incision infection was executed prospectively. The diagnosis standard was based on the Diagnosis Standard of Hospital Infection （Draft） published by Ministry of Health, People＇s Republic of China in Jan 2001. Results There were 3679 cases with abdominal operation from Jan 1,2002 to Jan 1,2007 in our hospital and 138 cases suffered incision infection ,the infection rate was 3.75%,The pathogenic bacteria of incision infection were confirmed as G^- bacilli 63 strains ,68.48%,G^＋ cocci （19 strains 20.65%） and fungi （10 strains, 10.87%）. 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, and selection of suture line and suture technique.

关 键 词：手术切口 医院感染 预防控制 抗生素 

分 类 号：R619.3[医药卫生—外科学]