肝胆外科手术部位感染目标性监测分析  

Targeted monitoring of surgical site infections in hepatobiliary surgery

作　　者：朱会英[1] 李艳春[1] 向佩莹[1] 王艳[1] 许蔓春[1] 

机构地区：[1]广州军区广州总医院感染控制科,广东广州510010

出　　处：《中华医院感染学杂志》2012年第21期4755-4757,共3页Chinese Journal of Nosocomiology

摘　　要：目的通过开展目标性监测,了解肝胆外科手术部位感染的情况和相关因素,为采取有效预防与控制措施提供科学依据。方法采用前瞻性监测方法,监测2011年4月-2012年3月肝胆外科所有手术患者,填写监测表格,出院后电话随访,并对感染发生率等多项指标进行统计分析。结果共监测537例肝胆外科手术患者,手术部位感染率为3.35%;危险指数等级升高,感染率明显增高(P<0.05),急诊手术感染率高于择期手术;手术切口类型级别越高,感染发生率越高;手术持续时间≥2.6h者感染率升高。结论肝胆外科手术部位的感染与多种危险因素有关,预防和降低感染发生率,应采取综合性预防控制干预措施。OBJECTIVE To explore the characteristics and the risk factors for hepatobiliary surgical site infections through the targeted monitoring so as to provide basis for the prevention and control of surgical site infections.METHODS By means of prospective monitoring method,all the patients who underwent hepatobiliary surgery from Apr 2011 to Mar 2012 were monitored,the monitoring forms were filled out,the phone call follow-up was performed after the discharge from hospital,and such multiple indicators as the incidence of infections were taken for statistical analysis.RESULTS Of the 537 case-time of patients undergoing hepatobiliary surgery,the incidence rate of the surgical site infections was 3.35%.The infection rate was increased significantly as the risk index level elevated（P0.05）.The incidence rate of surgical site infection was higher in the emergency operation than in the selective operation.The higher the level of the surgical incision,the higher the infection rate.The infection rate was elevated in the patients with operation duration more than 2.6 hours.CONCLUSION Hepatobiliary surgical site infections are related to multiple risk factors.It is necessary to take comprehensive prevention and control measures to prevent and reduce the incidence of infections.

关 键 词：肝胆外科手术 手术部位感染 目标性监测 

分 类 号：R619.3[医药卫生—外科学]