Monitoring on surgical site infection and risk factors for clean wound orthopedic surgery
10.3969/j.issn.1671-9638.2015.11.012
- VernacularTitle:骨科清洁切口手术部位感染监测及危险因素
- Author:
Qingyan WANG
;
Xuehui FAN
;
Yuexin HAN
;
Zhiyong DONG
- Publication Type:Journal Article
- Keywords:
orthopedics;
clean operation;
clean wound;
skin preparation;
targeted monitoring;
surgical site infection
- From:
Chinese Journal of Infection Control
2015;(11):766-768
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the incidence and risk factors for surgical site infection (SSI)in clean wound orthopedics surgery.Methods SSI among patients receiving clean wound orthopedic surgery from April 1 to Sep-tember 30 in 2014 were monitored,risk factors for SSI were analyzed.Results A total of 665 patients were moni-tored,14 cases(2.11 %)of SSI occurred.Univariate analysis showed that types of skin,skin preparation modes, and ASA score were risk factors for SSI in clean wound orthopedic surgery (all P <0.05 ).Multivariate logistic analysis revealed that conventional skin preparation,ASA score ≥ grade Ⅱ,and duration of operation ≥90 minutes were independent risk factors for SSI in patients receiving clean wound orthopedic surgery (OR [95%CI ],3.96 [1 .07-14.70],6.45[1 .97-21 .11],and 4.08[1 .35 -12.30]respectively).Conclusion The improved method of skin preparation,grade I ASA score,and shortening duration of operation can reduce the incidence of SSI in clean wound orthopedic surgery,on the basis of improving the autoimmunization of patients,strengthening prevention and control of healthcare-associated infection can reduce the incidence of SSI in clean wound orthopedic surgery.
