Targeted surveillance and preventive measures of orthopedic surgical incision infection
10.3760/j.issn.1674-2907.2014.18.015
- VernacularTitle:骨科手术切口感染的目标性监测与预防
- Author:
Wei GAO
1
;
Weili ZHANG
;
Liying HE
;
Baoli LI
Author Information
1. 050051 石家庄，河北医科大学第三医院感控科，骨科
- Keywords:
Hospital,orthopedics;
Infection;
Surgical incision;
Targeted surveillance;
Prevention
- From:
Chinese Journal of Modern Nursing
2014;20(18):2210-2213
- CountryChina
- Language:Chinese
-
Abstract:
Objective A targeted surveillance was conducted to the orthopedic patients surgical incision infection , in order to provide evidence for preventing and controlling of surgical incision infection . Methods To investigate the incision and its influencing factors of orthopedic surgery patients , we conducted the targeted surveillance from October to December 2012 , and then , analyzed the monitored data .Results Totals of 7 252 orthopedic surgery patients were monitored , including 223 patients occurred incision infection , with an incision infection rate of 3.08%; 247 patients had secondary infection , with an infection rate of 3.41%. 247 pathogens were detected , within which 166 gram-negative bacilli , accounting for 67 .21%; 79 Gram-positive cocci, accounting for 31.98%;2 fungi, accounting for 0.81%.The most detection of the pathogen was Staphylococcus aureus , accounting for 68 cases ( 27 .53%) , followed by Pseudomonas aeruginosa , accounting for 63 cases (25.51%), the third place was Acinetobacter baumannii , accounting for 32 cases (12.96%). The risk factors of surgical site infection included age <16 or >60 years old, emergency surgery , type Ⅲincision, operation time >2 h, diabetes, hemoglobin <110 g/L, existed infections before surgery , without rational use of antimicrobial drugs during perioperative period ( P <0 .05 ) .Conclusions We should pay attention to the risk factors of infection and continue to improving surveillance work , in order to control and reduce the incision infection of orthopedic surgical patients .
