手术部位感染目标性监控及其危险因素多中心研究

来源 :中国感染控制杂志 | 被引量 : 0次 | 上传用户:xurikeji
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的调查我国医院手术部位感染(SSI)情况及相关危险因素,为我国SSI的防治提供理论依据。方法对全国部分省及直辖市共29所医院大肠手术、腹式子宫切除术、股骨颈修复术和血管手术4类手术进行前瞻性监测,分析SSI的危险因素。结果共纳入6 309例手术,SSI发病率为1.60%,其中大肠手术SSI发病率为4.47%(74/1 655)、腹式子宫切除术为1.03%(22/2 139)、股骨颈修复术为0.21%(5/2 372)、血管手术为0.00%(0/143)。各地区SSI发病率比较,差异有统计学意义(χ2=114.213,P<0.05)。最常见的术后SSI类型为表浅切口感染,其次为深部切口感染。引起SSI最常见的病原菌为大肠埃希菌、肠球菌属细菌、凝固酶阴性葡萄球菌、金黄色葡萄球菌和肺炎克雷伯菌。男性、手术持续时间长、NNIS评分高是发生SSI的独立危险因素。结论不同手术类型发生SSI风险不同,男性、手术持续时间长、NNIS评分高可增加术后SSI发病率。 Objective To investigate the situation of surgical site infection (SSI) and its related risk factors in hospitals in our country and provide a theoretical basis for the prevention and treatment of SSI in China. Methods Four kinds of operations including colorectal surgery, abdominal hysterectomy, femoral neck revision and vascular surgery in 29 hospitals in some provinces and municipalities of China were prospectively monitored, and the risk factors of SSI were analyzed. Results A total of 6 309 surgeries were enrolled. The incidence of SSI was 1.60%. The incidence of SSI in colorectal surgery was 4.47% (74/1 655), that of abdominal hysterectomy was 1.03% (22/2 139) Was 0.21% (5/2 372) and vascular surgery was 0.00% (0/143). The incidence of SSI in all regions, the difference was statistically significant (χ2 = 114.213, P <0.05). The most common type of postoperative SSI was superficial incisional infection, followed by deep incisional infection. The most common pathogens causing SSI are Escherichia coli, Enterococcus bacteria, coagulase-negative staphylococcus, Staphylococcus aureus and Klebsiella pneumoniae. Men, long duration of surgery, high NNIS score is an independent risk factor for the occurrence of SSI. Conclusion There are different SSI risks in different surgical types. Men, long duration of operation and high NNIS score can increase the incidence of postoperative SSI.
其他文献
据悉,今年统计专业技术资格考试是统计部门组织的第11次专业技术资格考试,也是第一次实行标准化的考试。试题全部采用客观题,考生在答题卡上填涂信息点作答,答题卡送全国考办集中
为研制灵敏、准确、稳定的猪瘟抗体检测试纸,对胶体金标记猪瘟病毒(CSFV)Erns-E2蛋白的pH、封闭液、保存液及样品垫等试纸生产各环节的保护剂、稳定剂及缓冲系统进行优化,确
所谓“斑”是指产生于皮肤表面、形状呈不规则且没有隆起却有颜色的发疹现象,是一种较为常见的皮肤病。一般斑点的出现不会给人体产生危害性,但是对于注重形象及美感的新女性
期刊
一、应树立统计数据全面质量控制的指导思想 统计调查体系是有各级统计部门和各专业统计所构成的横纵交叉的立体网络,网络中的每一个结点都互相联接,互为依靠。从数据质量控
近年来,我国建筑事业发展十分迅猛,成为了推动社会经济发展的重要支持力量,同时也推进了我国城镇化建设进程。有效提高建筑管理质量水平及做好成本控制工作成为当下建筑事业
为保障国家统计调查工作顺利进行,国家统计局发布第2号令《国家统计调查证管理办法》,自1999年7月1日起施行。该《办法》对国家统计调查证的使用作了详细规定,对规范统计调查