口腔颌面外科患者手术切口部位感染目标性监测  

Targeted surveillance of incision site infection in patients received oral and maxillofacial surgery

作　　者：叶慧兰[1] 彭根英[2] 

机构地区：[1]丽水市人民医院口腔科,浙江丽水323000 [2]丽水市人民医院感染管理科,浙江丽水323000

出　　处：《中华医院感染学杂志》2011年第23期4973-4974,共2页Chinese Journal of Nosocomiology

摘　　要：目的研究口腔颌面外科手术部位感染(SSI)预防控制措施。方法设计统一调查表,采用前瞻性调查方法,选择口腔颌面外科手术患者进行床旁调查、电子病历查阅、手术过程和换药跟踪、出院随访等方法进行统计分析。结果口腔颌面外科手术部位感染发生率2.91%;在所有发生手术部位感染的26例患者中,在术前麻醉诱导期均未应用抗菌药物,术后用抗菌药物时间>7d;感染率与手术创伤的大小、手术时间、手术危险程度、切口类型、年龄、抗菌药物正确使用时间相关。结论采用手术切口部位感染目标性监测,能及时发现问题,及时调整干预措施,可将口腔颌面外科手术切口感染率降低。OBJECTIVE To study the prevention and control measures of Oral and Maxillofacial surgical site infections（SSI）. METHODS Using the forward-looking survey method,we designed the uniform questionnaire for the oral and maxillofacial surgery patients,and investigated the patients′ bedside,looked up the electronic records,tracked the whole process of operation and dressing change,as well as the post-hospital visit for statistical analysis. RESULTS Oral and Maxillofacial surgical site infection rate was 2.91%.In 26 surgical site infections cases,no patients was given the antimicrobial drugs during the anesthesia induction period before surgery.It was longer than 7 days after using postoperative antibiotics.There existed the correlation between the surgical infection rates and wound size,operation time,the degree of operation risk,incision type,patients′ age,proper use of antibiotics. CONCLUSIONS Taking the targeted surveillance in incision site can help us to identify problems timely and adjust interventions,so the maxillofacial surgery wound infection rate can be decreased.

关 键 词：口腔颌面外科 手术部位 感染 目标性监测 

分 类 号：R181.32[医药卫生—流行病学]