本文選題：手術(shù)部位感染 + NNIS風(fēng)險(xiǎn)指數(shù)　； 參考：《中華醫(yī)院感染學(xué)雜志》2017年08期

【摘要】：目的評(píng)估NNIS風(fēng)險(xiǎn)指數(shù)在手術(shù)部位感染的應(yīng)用效果,為NNIS風(fēng)險(xiǎn)調(diào)整作參考。方法回顧性收集2014年1月-2016年8月12所醫(yī)院14 308例手術(shù)病例資料,計(jì)算不同手術(shù)不同NNIS風(fēng)險(xiǎn)組的感染率,應(yīng)用Spearman秩相關(guān)檢驗(yàn)分析NNIS風(fēng)險(xiǎn)等級(jí)與感染率的相關(guān)關(guān)系,以受試者工作特征曲線(ROC)下面積(AUC)評(píng)價(jià)NNIS風(fēng)險(xiǎn)指數(shù)對(duì)不同手術(shù)術(shù)后感染的預(yù)測(cè)能力。結(jié)果 NNIS-0、1級(jí)、2級(jí)、3級(jí)感染率分別為1.77%、5.85%、13.13%、26.14%,Spearman秩相關(guān)系數(shù)為0.642,P0.01;結(jié)直腸切除、開腹膽囊及膽管手術(shù)的AUC分別為0.731、0.721、0.717,長(zhǎng)骨骨折切開復(fù)位內(nèi)固定、髖關(guān)節(jié)置換、冠狀動(dòng)脈搭橋、腹式子宮切除的AUC分別為0.634、0.608、0.646、0.623,剖宮產(chǎn)AUC為0.502。結(jié)論 NNIS風(fēng)險(xiǎn)指數(shù)作為手術(shù)部位感染風(fēng)險(xiǎn)分層工具判別能力較好,對(duì)感染率高的手術(shù)預(yù)測(cè)能力優(yōu)于感染率低的手術(shù),如能根據(jù)我國(guó)的情況對(duì)NNIS風(fēng)險(xiǎn)指數(shù)進(jìn)行風(fēng)險(xiǎn)調(diào)整或許能夠讓其作用發(fā)揮更有效。
[Abstract]:Objective to evaluate the effect of NNIS risk index in patients with surgical site infection and to provide a reference for the adjustment of NNIS risk. Methods the data of 14 308 surgical patients in 12 hospitals from January 2014 to August 2016 were collected retrospectively. The infection rate of different NNIS risk groups was calculated. The Spearman rank correlation test was used to analyze the correlation between NNIS risk grade and infection rate. The area under the operating characteristic curve (ROC) was used to evaluate the predictive ability of NNIS risk index for different postoperative infections. Results the infection rate of NNIS-0 grade 1 and grade 2 and grade 3 were 1.77 and 5.85, respectively, and the rank correlation coefficient of Spearman was 0.642p0.01.The AUC of colorectal resection, cholecystectomy, cholecystectomy and bile duct surgery were 0.721 ~ 0.717, respectively, open reduction and internal fixation of long bone fracture, hip replacement, coronary artery bypass graft, and so on. The AUC of abdominal hysterectomy and cesarean section were 0.634 and 0.608, respectively. The AUC of caesarean section was 0.502. Conclusion NNIS risk index is a good tool for distinguishing infection risk in surgical site, and it is superior to surgery with low infection rate in predicting the infection rate. If we can adjust the risk of NNIS risk index according to the situation of our country, we can make it more effective.
【作者單位】： 石河子大學(xué)醫(yī)學(xué)院第一附屬醫(yī)院院內(nèi)感染控制辦公室;濱州醫(yī)學(xué)院附屬醫(yī)院院內(nèi)感染控制辦公室;甘肅省武威腫瘤醫(yī)院醫(yī)院感染管理科;山東大學(xué)齊魯醫(yī)院醫(yī)院感染管理處;廣東省人民醫(yī)院檢驗(yàn)科;
【基金】：新疆生產(chǎn)建設(shè)兵團(tuán)衛(wèi)生科技基金資助項(xiàng)目(XJBTWK-201602)
【分類號(hào)】：R619.3

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本文編號(hào)：1784482