Multicenter study on targeted monitoring of surgical site infection and risk factors
10.3969/j.issn.1671-9638.2015.08.009
- VernacularTitle:手术部位感染目标性监控及其危险因素多中心研究
- Author:
Yu ZHANG
;
Shengnan LIU
;
Liuyi LI
;
Huixue JIA
;
Qun LU
;
Jianguo WEN
;
Huai YANG
;
Weiguang LI
;
Anhua WU
;
Yun YANG
;
Zhiyong ZONG
;
Bijie HU
;
Yingchun XU
;
Yihong JIANG
;
Li JIANG
;
Xiuyue ZHANG
;
Xuefen HE
;
Jinlan XIE
;
Tieying HOU
- Publication Type:Journal Article
- Keywords:
surgical site infection;
risk factor;
monitor;
epidemiological characteristic;
prospective
- From:
Chinese Journal of Infection Control
2015;(8):544-547,556
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the status and risk factors of surgical site infection (SSI)in hospitals in Chi-na,so as to provide theoretical basis for the prevention and treatment of SSI.Methods Four types of surgeries (colorectal surgery,abdominal hysterectomy,femoral neck repair surgery,and vascular surgery)in 29 hospitals were monitored prospectively,risk factors for SSI were analyzed.Results A total of 6 309 surgical procedures were investigated,incidence of SSI was 1 .60%.Incidences of SSI in patients receiving colorectal surgery,abdominal hys-terectomy,femoral neck repair surgery,and vascular surgery were 4.47%(74/1 655 ),1 .03%(22/2 139),0.21 %(5/2 372),and 0.00% (0/143 )respectively.The incidences of SSI were different among different regions (χ2 =114.213,P <0.05).The most common SSI was superficial incisional infection,the next was deep incisional infec-tion.The major pathogens causing SSI were Escherichia coli ,Enterococcus spp .,coagulase negative staphylococ-cus ,Staphylococcus aureus ,and Klebsiella pneumoniae .The independent risk factors for SSI were male patients, long duration of surgery,and high NNIS score.Conclusion The risk of SSI is varied with different types of surger-ies.Male,long duration of surgery,and high NNIS score can increase the risk of postoperative SSI.
