Targeted monitoring on surgical site infection and effect of intervention
10.3969/j.issn.1671-9638.2015.11.010
- VernacularTitle:手术部位感染目标性监测及干预效果评价
- Author:
Yu ZHANG
;
Zhengkang LI
;
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;
bundled intervention measure;
intervention study;
targeted monitoring;
com-pliance
- From:
Chinese Journal of Infection Control
2015;(11):757-760,765
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the incidence of surgical site infection (SSI)and compliance to bundled interven-tion measures,and evaluate the effect of bundled interventions on controlling SSI.Methods From October 2013 to September 2014,three types of surgeries (colorectal surgery,abdominal hysterectomy,and femoral neck repair sur-gery)in 29 hospitals in China were monitored,October 2013 to March 2014 was baseline investigated stage,April 2014 to September 2014 was intervention stage.Results A total of 6 166 episodes of surgeries were monitored,the incidence of SSI was 1 .64%,incidence of SSI following colorectal surgery,abdominal hysterectomy,and femoral neck repair surgery were 4.47%,1 .03%,and 0.21 % respectively.The P 75 time of three types of surgeries were 3,2,and 2 hours respectively.Compared with the baseline stage,the compliance to most intervention measures im-proved after intervention,the largest increase in the compliance to interventions was disinfection with chlorhexidine-containing disinfectant at surgical sites of colorectal surgery (increased by 29.09%),followed by preoperative shower of femoral neck repair surgery (increased by 26.24%),preoperative shower of colorectal surgery(increased by 22.95%),and skin preparation on the day of operation (increased by 20.75%).Incidences of SSI in three types of surgeries were not significantly different before and after intervention(all P >0.05).Conclusion The incidences of SSI are different among different types of surgeries,the compliance to most bundled intervention measures has im-proved to some extent after intervention,but effectiveness of intervention measures needs to be further observed.
