Monitoring on surgical site infection following laparoscopic surgery in pa-tients in department of general surgery
10.3969/j.issn.1671-9638.2015.11.007
- VernacularTitle:普通外科腹腔镜手术患者切口感染监测
- Author:
Dinggui HUANG
;
Guijiao LU
;
Yawen SHI
;
Xue GUO
- Publication Type:Journal Article
- Keywords:
general surgery;
laparoscopic surgery;
surgical site infection;
influencing factor;
healthcare-associated infection
- From:
Chinese Journal of Infection Control
2015;(11):746-748
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the status and influencing factors of surgical site infection (SSI)following lapa-roscopic surgery in patients in department of general surgery,so as to take effective measures to reduce SSI. Methods Active monitoring method was used to survey SSI among 401 patients undergoing laparoscopic surgery from January 1 ,2013 to December 31 ,2013,univariate analysis and multivariate analysis on risk factors for SSI were conducted.Results Of 401 investigated patients,12 (2.99%)developed SSI.Univariate analysis showed that risk factors for SSI in patients with laparoscopic surgery were elderly patients,emergency operation,infected wound,gastrointestinal tract operation,and grade Ⅳof ASA score (all P <0.05 ).Multivariate logistic regression analysis revealed that elderly patients (OR,5.02[95%CI ,1 .38 -30.25]),emergency operation (OR,4.37 [95%CI ,1 .96-28.55]),infected wound (OR,7.27[95%CI ,2.54-25.05]),and gastrointestinal tract operation (OR, 8.13 [95%CI ,1 .38 - 18.33 ])were high risk factors for SSI following laparoscopic surgery (all P < 0.05 ). Conclusion Thereare multiple factors influencing SSI after laparoscopic surgery,diversified prevention and control measures can effectively reduce the incidence of postoperative SSI.
