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目的研究口腔颌面外科手术部位感染(SSI)预防控制措施。方法设计统一调查表,采用前瞻性调查方法,选择口腔颌面外科手术患者进行床旁调查、电子病历查阅、手术过程和换药跟踪、出院随访等方法进行统计分析。结果口腔颌面外科手术部位感染发生率2.91%;在所有发生手术部位感染的26例患者中,在术前麻醉诱导期均未应用抗菌药物,术后用抗菌药物时间>7d;感染率与手术创伤的大小、手术时间、手术危险程度、切口类型、年龄、抗菌药物正确使用时间相关。结论采用手术切口部位感染目标性监测,能及时发现问题,及时调整干预措施,可将口腔颌面外科手术切口感染率降低。
Objective To study the prevention and control measures of oral and maxillofacial surgical site infection (SSI). METHODS: A unified questionnaire was designed and prospectively surveyed. Patients undergoing oral and maxillofacial surgery were selected for bedside investigation, electronic medical record review, surgical procedure, dressing change and follow-up visits. Results The incidence of oral and maxillofacial surgical site infection was 2.91%. No antimicrobial drugs were used in preoperative anesthesia induction period in all the 26 patients with surgical site infection, and the antibacterial time was> 7d after operation. The infection rate and operation The size of trauma, the time of operation, the degree of surgical risk, the type of incision, the age, and the correct use of antibacterial drugs. Conclusions The targeted surveillance of surgical incision site infection can detect the problem in time and adjust the intervention measures timely to reduce the infection rate of oral and maxillofacial surgical incision.