新疆兵团系统手术部位感染及抗菌药物使用现况调查  

Investigation on Surgical Site Infection and Use of Antibiotics in the XPCC

作　　者：李静[1] 王琳洁 何文英[1] 张焱[1] 芦永华[1] 郑丽英[1] 孙洁[1] LI Jing;WANG Lin-jie;HE Wen-ying;ZHANG Yan;LU Yong-hua;ZHENG Li-ying;SUN Jie(Nosocomial Infection Control office,The First affiliated Hospital of Shihezi University School of Medicine,Xinjiang Shihezi,832008;Changsha Medical University,Changsha,410219)

机构地区：[1]石河子大学医学院第一附属医院院内感染控制办公室,新疆石河子832008 [2]长沙医学院,长沙410219

出　　处：《农垦医学》2019年第4期359-362,共4页Journal of Nongken Medicine

摘　　要：目的:通过调查分析新疆兵团系统各级医院2018年手术部位感染、病原体检出及抗菌药物使用情况,为预防外科手术部位感染及选择合适的抗菌药物提供依据。方法:兵团系统各级医院在2018年3月1日至9月30日期间完成医院感染横断面调查,对调查结果进行统计分析。结果:调查手术患者1 653例,感染20例,手术部位感染率1.21%(20/1 653);抗菌药物使用率42.29%(699/1 653);预防性抗菌药物使用率19.66%(325/1 653);其中Ⅰ、Ⅱ、Ⅲ、Ⅳ类手术患者手术部位感染率分别为0.91%、1.17%、2.76%、1.67%;Ⅰ、Ⅱ、Ⅲ、Ⅳ类切口手术患者抗菌药物使用率分别为28.29%、51.98%、62.07%,63.33%;手术部位感染患者中,检出病原体17株,主要以G-杆菌为主。结论:手术部位感染发生率排名前三位的是肝胆手术、骨科手术及泌尿外科手术,主要以Ⅱ、Ⅲ类切口为主,急诊手术感染率高于择期手术,通过合理使用抗菌药物可降低手术部位感染发生率。Objective: To provides a basis for preventing surgical site infection and select suitable antibacterial drugs through investigation and analysis of the surgical site infection, pathogen detection and antibiotic use of hospitals in the XPCC in 2018. Methods:From March 1 to September 30, 2018, hospitals at all levels of the corps system completed the cross-sectional survey of nosocomial infection. Each unit arranged the survey time by itself and analyzed the results of the survey. Results:1653 cases of surgical patients were selected, including 20 cases of infection, the surgical site infection rate of 1.21%(20/1653). The antimicrobial use rate was 42.29%(699/1653).The prophylactic antimicrobial use rate was 19.66%(325/1653). Among them, the infection rates of surgical sites of type I, II, III and IV were 0.91%, 1.17%, 2.76% and 1.67% respectively. The use rates of antibiotics in patients with type I, II, III and IV incisions were 28.29%, 51.98%, 62.07% and 63.33% respectively. 17 pathogens were detected in patients with surgical site infection, mainly G-bacilli. Conclusion:The top three incidences of surgical site infections are hepatobiliary surgery, orthopedic surgery and urological surgery. The main infections are type II and III. The infection rate of emergency surgery is higher than that of elective surgery. The rational use of antibiotics are capable of declining the incidence of surgical site infection.

关 键 词：手术部位感染 抗菌药物使用 现况调查 

分 类 号：R197.323[医药卫生—卫生事业管理]