无菌手术切口感染的临床分析  

Aseptic Surgical Incision Infection:A Clinical Analysis

作　　者：何耀琴[1] 吴红丽[1] 陈谷霖[1] 于建武[1] 

机构地区：[1]南昌大学第二附属医院医院感染管理科,江西南昌330006

出　　处：《中华医院感染学杂志》2009年第11期1373-1374,共2页Chinese Journal of Nosocomiology

摘　　要：目的分析切口感染相关因素，提出预防无菌手术切口感染的相关措施，降低切口感染率。方法对医院2004年1月-2006年12月的17044例无菌手术患者资料进行了前瞻性和回顾性调查，分析无菌手术切口感染的相关危险因素。结果2004—2006年3年间共发生Ⅰ类手术切口感染36例，切口感染发生率0．21％；2004、2005、2006年切口感染发生率依次为0．24％、0．22％、0．18％；在36例切口感染中手术时间〉3h的为17例，2～3h的为12例，〈2h的为7例，其构成比依次为47．23％、33．33％、19．44％。结论无菌手术切口感染与患者年龄、手术时间、季节、围手术期用药、基础疾病有关，切口感染重在预防，要加强全面医疗质量管理，加强医务人员的医院感染知识培训。OBJECTIVE To study and analyze the risk factors of surgical incision infection. METHODS All of 17 044 aseptic surgery patients from 2004 to 2006 were investigated. RESULTS Totally 36 （0. 21%） cases occurred infection with class Ⅰ surgical site. The incision infection ratio was 0.24%, 0.22%/ and 0. 18% in 2004, 2005, and 2006, respectively. The operation time more than three hours occurred in 17 patients, two and three hours were in 12 cases,and less tha.n two hours in the seven cases, accounted for 47. 23%, 33. 33% and 19. 44%, respectively. CONCLUSIONS The risk factors of incision infection after aseptic were as age, operation times, seasons,perioperative administration and underlying diseases. In order suroery to prevent the incition infection in aseptic surgery,we should pay more attention to management and education among medical staff.

关 键 词：无菌手术 切口感染 临床分析 预防措施 

分 类 号：R181.32[医药卫生—流行病学]