肿瘤外科医师手术感染专率调查  

Surveillance of oncological surgeon-specific wound infection rates

作　　者：唐净[1] 唐波勇[1] 柏桂英[1] 

机构地区：[1]南华大学附一医院,湖南衡阳421001

出　　处：《中国感染控制杂志》2004年第1期17-18,75,共3页Chinese Journal of Infection Control

摘　　要：目的　监测某院肿瘤外科医师手术感染专率 ,以督促降低手术后感染率。方法　对 2 0 0 0年各类肿瘤手术感染情况、相关危险因素进行监测 ,并通过危险指数调整 ,比较主刀医师手术切口感染率。结果　全年共进行各类肿瘤手术 398例 ,医院感染率为 15 .83% ,切口感染率为 9.30 % ;患者健康状况 (按美国麻醉学会分级标准定为一类和二类 )、伤口类型及手术时间与手术后感染相关。主刀医师感染专率最高为 17.0 2 % ,经危险指数调整后 ,最高感染专率为 13.6 4 % ;危险指数增高 ,感染率随之升高。结论　肿瘤外科手术后感染涉及多方面因素 ,主要与手术操作水平及患者自身健康状况、切口类型相关 ,应充分重视各类危险因素 ,改进存在问题 ,降低感染率。Objective To evaluate the oncological surgeon-specific wound infection (SSWI) rates in a hospital, and reduce the post-operative surgical site infection (SSI) rate. Methods Surgical site infection rates, risk factors were analysed, and SSWI rates were compared after the adjustment of ARIC. Results Three hundred and ninety-eight cases of operation were performed, post-operative infection rate was 15.83%, SSI was 9.30%; SSIs were related with the patients health, incision type and duration of operations. The highest SSWI rate was 13.64% after the adjustment of ARIC, the infection rate increased with the increase of risk index. Conclusion The oncological SSI is related with many factors, and mainly with the technique of surgeons, patients health status and incision type.

关 键 词：肿瘤外科 医师 手术感染 医院感染 感染率 

分 类 号：R730.56[医药卫生—肿瘤]