手术部位医院感染干预的临床研究  

Clinical study on interventions of nosocomial infections in surgical sites

作　　者：孙健龙 管晓芸[1] 张仁仙 张素梅[1] 

机构地区：[1]无锡市第四人民医院医院感染管理科,江苏无锡214062

出　　处：《中华医院感染学杂志》2011年第14期2983-2984,共2页Chinese Journal of Nosocomiology

摘　　要：目的控制手术部位的医院感染,减少医源性感染的发生,提高医疗质量。方法医院感染管理部门建立手术部位医院感染管理规范并予督查,实施目标性监测,干预手术部位医院感染的发生;手术医师确立医院感染预防控制理念,落实医院感染预防控制措施。结果通过对医院感染的干预和预防,减少了手术部位的医院感染的发生率,2005-2009年Ⅰ类手术切口感染率依次为0.48%、0.36%、0.24%、0.21%、0.19%,Ⅱ类手术切口感染率依次为0.51%、0.41%、0.27%、0.22%、0.22%,Ⅲ类手术切口感染率依次为1.62%、1.20%、0.99%、0.49%、0.43%。结论多途径加强围术期医院感染管理,是手术安全的可靠保证。OBJECTIVE To control the infections of surgical sites and decrease iatrogenic infections so as to improve medical treatment quality. METHODS Nosocomial infection administration department proposed management protocols of nosocomial infections with supervising, implementing target surveillance and interfering occurrences of nosocomial infection in surgical sites. Surgeons established the ideals of precluding nosocomial infection and fulfills precautions and control measures. RESULTS By means of interventions and preclusions, the incidence rates of nosocomial infections in surgical sites were decreased, the incision rates of type Ⅰ surgery during 2005-2009 were 0.48%,0. 36%, 0. 24%, 0. 21% and 0. 19%, respectively, while which of type Ⅱwere 0. 51%, 0. 41%, 0.27%, 0.22% and 0.22%, which of type Ⅲ were 1.62%, l. 20%, 0. 99%, 0. 49% and 0.43%, respectively. CONCLUSION It ensures the surgical operative safety by strengthening the management of nosocomial infections in perioperative period by multiple means.

关 键 词：手术部位 医院感染 干预 

分 类 号：R197.323[医药卫生—卫生事业管理]