CAJ | 학술논문

目的：探讨某院手术部位感染（SSI）暴发流行的调查与控制方法。方法对骨科Ⅰ类切口手术患者资料进行回顾性调查分析，并采取干预措施，控制医院感染的暴发流行。结果2012年6-8月该院骨科Ⅰ类切口手术患者312例，发生 SSI 7例，SSI 发病率为2．24％。2009-2012年同期Ⅰ类切口 SSI 发病率比较，差异有统计学意义（P ＜0．05），其中2012年 SSI 发病率最高。通过病例调查，医院感染管理科分析感染可能原因，并与骨科沟通，提出7项整改要求；骨科制定18项 SSI 防控细则并切实执行。后续追踪结果显示，2012年9-11月，该科 SSI发病率为0．38％，回落至正常水平，此次 SSI 流行得到有效控制。结论医院感染管理部门对及时发现医院感染暴发流行具有重要意义；和临床科室对监测数据进行科学分析，针对性地采取控制措施，能有效控制医院感染暴发流行。
목적：탐토모원수술부위감염（SSI）폭발류행적조사여공제방법。방법대골과Ⅰ류절구수술환자자료진행회고성조사분석，병채취간예조시，공제의원감염적폭발류행。결과2012년6-8월해원골과Ⅰ류절구수술환자312례，발생 SSI 7례，SSI 발병솔위2．24％。2009-2012년동기Ⅰ류절구 SSI 발병솔비교，차이유통계학의의（P ＜0．05），기중2012년 SSI 발병솔최고。통과병례조사，의원감염관이과분석감염가능원인，병여골과구통，제출7항정개요구；골과제정18항 SSI 방공세칙병절실집행。후속추종결과현시，2012년9-11월，해과 SSI발병솔위0．38％，회락지정상수평，차차 SSI 류행득도유효공제。결론의원감염관리부문대급시발현의원감염폭발류행구유중요의의；화림상과실대감측수거진행과학분석，침대성지채취공제조시，능유효공제의원감염폭발류행。
Objective To explore the investigation and control method for the epidemic of surgical site infection (SSI)in a hospital.Methods Data of orthopedics patients receiving clean wound orthopedics operation were ana-lyzed retrospectively,and effective measures were taken to control the epidemic of HAI.Results From June to August 2012,a total of 312 patients received clean wound orthopedics operation,7 (2.24%)SSI cases occurred.SSI rates during the same period from 2009 to 2012 were significantly different(P <0.05),and was the highest in 2012. HAI management staff reviewed patients’medical records,communicated with staff in orthopedics department,and put forward advice for SSI control;orthopedics department worked out and implemented detailed infection control measures.The subsequent surveillance showed that the prevalence of SSI in orthopedics ward decreased to 0.38%, infection outbreak was effectively controlled.Conclusion HAI management department played an important role in the finding and control of HAI outbreak.Scientific analysis on monitored data and proper measures adopted by HAI management department and clinical department can effectively control HAI outbreak.