手术部位医院感染的危险因素及其所致经济损失的探索  

Risk factors of hospital infection in surgical sites and its economic losses

作　　者：郑鹏 包卿[2] Zheng Peng;Bao Qing(Department of Infection Management,Changzhou Wujin People’s Hospital,Changzhou 213017,China;Department of Neurosurgery,Changzhou Wujin People’s Hospital,Changzhou 213017,China)

机构地区：[1]常州市武进人民医院感染管理科,江苏常州213017 [2]常州市武进人民医院神经外科,江苏常州213017

出　　处：《中华卫生应急电子杂志》2019年第2期97-99,共3页Chinese Journal of Hygiene Rescue(Electronic Edition)

摘　　要：目的了解胃肠外科发生外科手术部位感染(SSI)的危险因素,及其所致的直接经济损失,为医疗机构制定决策提供依据。方法调取某院普外科2018年1月至5月实施胃、结肠和直肠手术的335例患者资料进行回顾性病例对照研究。根据配对条件比较发生SSI的患者(SSI组)与同期进行相同手术但未发生SSI的患者(对照组),分析SSI的危险致病因素以及住院总费用、各项费用的详细差异以及住院时间的差异。结果本研究335例实施胃、结肠和直肠手术患者的SSI发病率为3.88%(13/335)。普通外科住院患者入院时的年龄、基础疾病数量、手术时间、术前合并其他感染、泌尿道插管等为发生SSI的危险因素。SSI组患者住院总费用高于对照组[20 912.8±2 772.8)元和(10 798.3±2 393.4)元],是对照组总费用的1.94倍,差异有统计学意义(P<0.05)。结论患者年龄、基础疾病数量、手术时间、术前合并其他感染、泌尿道插管等为其发生SSI的危险因素,此外,SSI延长患者的住院天数,增加医疗费用,影响经济收入和医疗质量。Objective To understand the risk factors of hospital surgical site infection(SSI) in gastrointestinal surgery and the economic losses caused by it,and to provide a basis for medical institutions to make decisions.Methods We investigated the data of 335 patients undergoing gastric,colon and rectal surgery from January to May 2018 in a hospital,and to conduct a retrospective case-control study.Patients who developed SSI(SSI group) were compared with those who underwent the same procedure but did not have SSI(control group) according to the pairing conditions.The risk factors for SSI and the total cost of hospitalization,various detailed expenses,and hospitalization time were analyzed.Results The incidence of SSI in 335 patients undergoing gastric,colon,and rectal surgery was 3.88%(13/335).The age at admission,the number of underlying diseases,the time of surgery,preoperative complications with other infections,and urinary catheterization were the risk factors for SSI.The total hospitalization cost of patients in the SSI group was higher than that of the control group [(20 912.8±2 772.8) and(10 798.3±2 393.4)],which was 1.94 times of the total cost of the control group,and the difference was statistically significant(P<0.05).Conclusions The age of the patient,the number of underlying diseases,the operation time,preoperative complications with other infections,and urinary catheterization are risk factors for SSI.In addition,SSI prolongs the hospitalization days,increases medical expenses,and affects economic income and medical quality.

关 键 词：手术部位感染 经济损失 危险因素 

分 类 号：R619.3[医药卫生—外科学]