Investigation and management of a clustered incident of incision infection after microtia plastic surgery
10.11816/cn.ni.2025-258005
- VernacularTitle:一起小耳畸形整形术后切口感染聚集性事件的调查与处置
- Author:
Jian SUN
1
;
Zhiyuan CHEN
1
;
Hua XU
1
;
Limei MA
1
;
Weiguang LI
1
Author Information
1. 山东第一医科大学附属省立医院医院感染管理办公室,山东济南 250000
- Publication Type:Journal Article
- Keywords:
Microtia plastic surgery;
Incision infection;
Pseudomonas aeruginosa;
Nosocomial infection;
Clus-tered incident
- From:
Chinese Journal of Nosocomiology
2025;35(16):2432-2436
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To summarize the process of investigation,disposal and prevention of a cluster incident of post-operative incision infection following microtia plastic surgery in the otorhinolaryngology department of a terti-ary care hospital,in order to provide a basis for hospital-aquired infection prevention and control.METHODS An epidemiological survey was conducted on seven patients who underwent otorhinolaryngoplasty for microtia in the ENT department of a tertiary care hospital from 27 Jul.to 7 Sep.2023,and interventions were implemented.RESULTS The incidence rate of infection was 71.43％among post-otorhinolaryngoplasty patients.In 5 patients,area for electrocoagulation of haemostatic increased by approximately 50％compared to the previous period,and drainage tubes were left in the surgical area for 11 to 13 days.Patients changed dressings in a shared dressing room.Pseudomonas aeruginosa was detected in three of the infected patients,and their antibiotic sensitivity pat-terns were similar to that of a lower respiratory tract infection patient(case 0)in the same department.CONCLUSION Inadequate aseptic practice by medical staff,longer retention of drainage tubes,incomplete disin-fection of the environment of the dressing room,and changes in surgical procedures may be the primary factors contributing to the occurrence of this cluster of infections.
