Prevalence survey of surgical site infections among orthopedics department patients of 61 traditional Chinese hospitals in Guangdong Province
10.11816/cn.ni.2025-241462
- VernacularTitle:广东省61家中医医院骨科手术部位感染现况调查
- Author:
Caijuan LUO
1
;
Wenhui LI
;
Hao HE
;
Dawen YANG
Author Information
1. 广州中医药大学第一附属医院(广东省中医临床研究院)医院感染管理科,广东 广州 510405
- Publication Type:Journal Article
- Keywords:
Orthopedic surgery;
Traditional Chinese hospital;
Surgical site infection;
Prevalence survey;
Guang-dong Province
- From:
Chinese Journal of Nosocomiology
2025;35(9):1378-1384
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To conduct a survey of current status of surgical site infections(SSIs)among the orthope-dics department patients in the traditional Chinese hospitals of Guangdong Province so as to provide guidance for prevention and control of the SSIs.METHODS A retrospective questionnaire survey and field verification were car-ried out for the prevalence of SSIs among the orthopedics department patients of 61 secondary or above traditional Chinese hospitals(traditional Chinese medicine integrated with western medicine hospitals)in 2019.RESULTS To-tally 35 tertiary hospitals and 26 secondary hospitals were involved in the survey.A total of 167,051 patients who re-ceived orthopedic surgical procedures were investigated,355 of whom had SSIs,with the incidence 0.21％.The patients who had superficial surgical incision infections were dominant,accounting for 53.52％.The incidence rates of SSIs of grade 3 surgeries and SSIs of type Ⅰ incision were respectively 0.34％and 0.24％in the secondary hospitals,remarkably higher than those in the tertiary hospitals(all P＜0.05).There were no signficant differences in the incidence rate of SSIs of other grades of surgeries between the secondary hospitals and the tertiary hospitals.There were significant differences in the nutrition status,smoking history,complication with COPD,anemia,bath 1 night before surgery,preoperative pe-ripheral blood total white blood cell counts,type of surgery,title of surgeon,operating room,anesthesia mode,surgical site disinfectants,operation duration,American Society of Anesthesiologists(ASA)score and surgical risk index between the tertiary hospitals and the secondary hospitals(all P＜0.05).The etiological test was carried out for 331 patients with SSIs;totally 266 strains of pathogens were isolated,105(39.47％)of which were Staphylococcus aureus.CONCLUSIONS The incidence of SSIs is relatively low among the orthopedics department patients of the traditional Chi-nese hospitals(traditional Chinese medicine integrated with western medicine hospitals)in Guangdong Province.The inci-dence rates of SSIs of grade 3 surgeries and SSIs of type Ⅰ incision are remarkably higher in the secondary hospitals than in the tertiary hospitals.It is necessary to take comprehensive prevention and treatment measures according to the character-istics of the infections so as to reduce the incidence of SSIs among the orthopedics department patients.
