667例骨科手术切口目标监测与干预效果评价     FREE
DOI:
作者:
作者单位:

作者简介:

黄金娥

通讯作者:

中图分类号:

R181.3+2

基金项目:


Targeted monitor  of 667 cases of bone surgery incision and evaluation of intervention effect         FREE
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 文章评论
    摘要:

    目的 了解引起骨科手术切口感染的因素,采取有效措施预防与控制骨科手术切口感染。方法 分2个阶段对在洁净手术室进行的骨科手术切口进行监测,第1阶段即2008年3月1日—12月31日(调查阶段),主要调查感染情况及相关因素;第2阶段即2009年1月1日—5月31日(干预阶段),根据前阶段的调查结果对可干预的相关因素进行干预。比较两阶段的感染率。结果 调查阶段的手术切口感染率为5.07%(23/454),干预阶段的手术切口感染率为1.41%(3/213),干预阶段切口感染率显著降低(χ2=4.25,P<0.05 )。结论 加强洁净手术室的管理、保证手术器械及用物灭菌质量、围手术期合理使用抗菌药物、正确进行外科手消毒、严格执行换药操作规程、提高医护人员感染控制意识等干预措施可有效预防与控制骨科手术切口感染。

    Abstract:

    Objective To study the factors which cause  incisional wound infection after bone surgery, and take effective measures  to prevent and control bone surgical infection.
    Methods Bone surgical incision performed in clean operating room were monitored during two stages, the first stage was March 1, 2008-December 31, 2008 ( investigation stage), the occurrence of infection and related factors were investigated; the second stage was January 1,2009-May 31,2009 (intervention stage), related factors according to  the investigated results were intervened. Infection rates in two stages were compared.
    Results Incisional wound infecton rate in investigation  and intervention stage was 5.07% (23/454) and 1.41% (3/213) respectively,  infection rate in intervention stage decreased obviously (χ2=4.25, P<0.05).Conclusion Effective prevention and control of bone surgical  incisional wound infection can achieve through management of clean operating room, qualified  sterilization of  operation instruments and relative material, rational use of perioperative antimicrobial agents, correct surgical hand disinfection, strict rules of dressing, and raising of  health care workers’ awareness about infection control

    参考文献
    相似文献
引用本文

黄金娥.667例骨科手术切口目标监测与干预效果评价     FREE[J]. 中国感染控制杂志,2010,9(2):106-108.
HUANG Jine. Targeted monitor  of 667 cases of bone surgery incision and evaluation of intervention effect         FREE[J]. Chin J Infect Control, 2010,9(2):106-108.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2009-08-19
  • 最后修改日期:2009-12-20
  • 录用日期:
  • 在线发布日期: 2010-03-30
  • 出版日期: