【摘要】：目的評估普通外科手術(shù)部位感染(SSI)的影響因素,提高目標監(jiān)測的質(zhì)量,為降低SSI發(fā)生率提供臨床理論依據(jù)。方法依據(jù)醫(yī)院感染監(jiān)測規(guī)范于2015年1月1日至12月31日對普通外科手術(shù)部位感染進行目標性檢測。監(jiān)測期間共實施手術(shù)920例。采取SPSS19.0軟件對相關(guān)數(shù)據(jù)進行統(tǒng)計學(xué)分析。結(jié)果 SSI綜合發(fā)生率為4.35%;隨著手術(shù)危險指數(shù)的增加,手術(shù)部位感染率升高。分離出病原菌17株,其中大腸埃希菌數(shù)量最多為11株。擇期手術(shù)SSI發(fā)生率為2.40%,急診手術(shù)SSI發(fā)生率為10.85%,差異有統(tǒng)計學(xué)意義(χ2=27.997,P0.05)。普通外科以Ⅱ類切口手術(shù)為主,Ⅱ類切口手術(shù)的SSI發(fā)生率為2.27%,Ⅲ類切口手術(shù)的SSI發(fā)生率為21.90%,Ⅰ類切口手術(shù)無SSI發(fā)生;手術(shù)時間大于3h的SSI發(fā)生率為7.27%,≤3h的SSI發(fā)生率為3.71%,差異有統(tǒng)計學(xué)意義(χ2=4.136,P0.05);切口長度大于或等于10cm的SSI發(fā)生率為13.11%,10cm的SSI發(fā)生率為1.82%,差異有統(tǒng)計學(xué)意義(χ2=48.966,P0.05)。結(jié)論 NNIS評分、切口類型、手術(shù)類型、手術(shù)持續(xù)時間等均可能成為SSI的危險因素。
[Abstract]:Objective to evaluate the influencing factors of (SSI) infection in surgical site, improve the quality of target surveillance, and provide a theoretical basis for reducing the incidence of SSI. Methods from January 1 to December 31, 2015, nosocomial infection surveillance was used to detect surgical site infection. A total of 920 patients underwent surgery during the monitoring period. Adopt SPSS19.0 software to carry on statistical analysis to the related data. Results the overall incidence of SSI was 4.35, and the infection rate of surgical site increased with the increase of surgical risk index. 17 strains of pathogenic bacteria were isolated, of which 11 strains were Escherichia coli. The incidence of SSI in elective operation was 2.40 and that of SSI in emergency operation was 10.85, the difference was statistically significant (蠂 2 27. 997 P 0.05). The incidence of SSI was 2.27 in type 鈪，

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