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目的:探讨基层医院普外科预防术后切口感染的管理措施,降低医院感染发生率。方法:在普外科成立感染管理小组,回顾性分析普外科术后切口感染的隐患,结合过程管理理念,制定预防术后切口感染的管理措施。并评价感染控制管理措施对预防术后切口感染的效果。结果:感染管理小组通过完善规章制度、增强医务人员预防术后切口感染意识、严格规范化应用抗生素、严格执行消毒隔离制度、增强患者抵抗力等措施后,普外科术后切口感染发生率有了显著下降(P<0.05);且普外科灭菌消毒质量也有显著提高(P<0.05)。结论:基层普外科管理者需要注重将成熟的管理理论运用到规范科室的感染控制中,提出有效预防措施,加强科室医务人员与患者的接触,加强医院的社区职能,发挥基层医院贴近患者的作用,以有效降低普外科术后切口的感染发生率。
OBJECTIVE: To explore the management measures of general surgery to prevent incision infection in primary hospitals and to reduce the incidence of nosocomial infections. Methods: An infection management team was set up in general surgery department to retrospectively analyze the hidden dangers of incision infection after general surgery. Combining the concept of process management, the management measures to prevent postoperative incision infection were formulated. And evaluate the effect of infection control management measures on the prevention of postoperative wound infection. Results: The infection management team had a significant incidence of incisional infection after percutaneous surgery by improving the rules and regulations, enhancing the awareness of medical personnel in preventing postoperative incisional infection, strictly standardizing the use of antibiotics, strictly implementing the disinfection and isolation system and enhancing the patient’s resistance. (P <0.05). The quality of sterilization and sterilization in general surgery also increased significantly (P <0.05). Conclusion: The primary general surgery managers should pay attention to apply the mature management theory to the infection control of the standard department, put forward effective precautionary measures, strengthen the contact between the department staff and the patients, strengthen the community function of the hospital and give play to the role of the primary hospital close to the patients , In order to effectively reduce the incidence of general surgery incision infection.