手术部位感染目标性监控及其危险因素多中心研究
수술부위감염목표성감공급기위험인소다중심연구
Multicenter study on targeted monitoring of surgical site infection and risk factors
  • 万方数据
    中国感染控制杂志 중국감염공제잡지
    CHINESE JOURNAL OF INFECTION CONTROL
    2015年 8期 544-547,556 ,共5页

    张玉%刘胜男%李六亿%贾会学%陆群%建国%杨怀%刘运喜%李卫光%吴安华%杨芸%宗志勇%胡必杰%徐英春%姜亦虹%姜利%张秀月%何雪芬%谢金兰%侯铁英

    장옥%류성남%리륙억%가회학%륙군%건국%양부%류운희%리위광%오안화%양예%종지용%호필걸%서영춘%강역홍%강리%장수월%하설분%사금란%후철영

    手术部位感染%危险因素%监测%流行病学特征%前瞻性 手術部位感染%危險因素%鑑測%流行病學特徵%前瞻性
    수술부위감염%위험인소%감측%류행병학특정%전첨성
    surgical site infection%risk factor%monitor%epidemiological characteristic%prospective
    目的：调查我国医院手术部位感染（SSI）情况及相关危险因素，为我国 SSI 的防治提供理论依据。方法对全国部分省及直辖市共29所医院大肠手术、腹式子宫切除术、股骨颈修复术和血管手术4类手术进行前瞻性监测，分析 SSI 的危险因素。结果共纳入6309例手术，SSI 发病率为1．60％，其中大肠手术 SSI 发病率为4．47％（74／1655）、腹式子宫切除术为1．03％（22／2139）、股骨颈修复术为0．21％（5／2372）、血管手术为0．00％（0／143）。各地区 SSI 发病率比较，差异有统计学意义（χ2＝114．213，P ＜0．05）。最常见的术后 SSI 类型为表浅切口感染，其次为深部切口感染。引起 SSI 最常见的病原菌为大肠埃希菌、肠球菌属细菌、凝固酶阴性葡萄球菌、金黄色葡萄球菌和肺炎克雷伯菌。男性、手术持续时间长、NNIS 评分高是发生 SSI 的独立危险因素。结论不同手术类型发生 SSI 风险不同，男性、手术持续时间长、NNIS 评分高可增加术后 SSI 发病率。
    목적：조사아국의원수술부위감염（SSI）정황급상관위험인소，위아국 SSI 적방치제공이론의거。방법대전국부분성급직할시공29소의원대장수술、복식자궁절제술、고골경수복술화혈관수술4류수술진행전첨성감측，분석 SSI 적위험인소。결과공납입6309례수술，SSI 발병솔위1．60％，기중대장수술 SSI 발병솔위4．47％（74／1655）、복식자궁절제술위1．03％（22／2139）、고골경수복술위0．21％（5／2372）、혈관수술위0．00％（0／143）。각지구 SSI 발병솔비교，차이유통계학의의（χ2＝114．213，P ＜0．05）。최상견적술후 SSI 류형위표천절구감염，기차위심부절구감염。인기 SSI 최상견적병원균위대장애희균、장구균속세균、응고매음성포도구균、금황색포도구균화폐염극뢰백균。남성、수술지속시간장、NNIS 평분고시발생 SSI 적독립위험인소。결론불동수술류형발생 SSI 풍험불동，남성、수술지속시간장、NNIS 평분고가증가술후 SSI 발병솔。
    Objective To investigate the status and risk factors of surgical site infection (SSI)in hospitals in Chi-na,so as to provide theoretical basis for the prevention and treatment of SSI.Methods Four types of surgeries (colorectal surgery,abdominal hysterectomy,femoral neck repair surgery,and vascular surgery)in 29 hospitals were monitored prospectively,risk factors for SSI were analyzed.Results A total of 6 309 surgical procedures were investigated,incidence of SSI was 1 .60%.Incidences of SSI in patients receiving colorectal surgery,abdominal hys-terectomy,femoral neck repair surgery,and vascular surgery were 4.47%(74/1 655 ),1 .03%(22/2 139),0.21 %(5/2 372),and 0.00% (0/143 )respectively.The incidences of SSI were different among different regions (χ2 =114.213,P <0.05).The most common SSI was superficial incisional infection,the next was deep incisional infec-tion.The major pathogens causing SSI were Escherichia coli ,Enterococcus spp .,coagulase negative staphylococ-cus ,Staphylococcus aureus ,and Klebsiella pneumoniae .The independent risk factors for SSI were male patients, long duration of surgery,and high NNIS score.Conclusion The risk of SSI is varied with different types of surger-ies.Male,long duration of surgery,and high NNIS score can increase the risk of postoperative SSI.
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