四肢骨折手术部位感染危险因素多中心调查
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何文英

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R181.3+2

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中华医院感染控制研究基金(ZHYG2014-0031)


Multicenter survey on risk factors for surgical site infection following limb fracture surgery
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    摘要:

    目的探讨四肢骨折术后手术部位感染(SSI)的相关危险因素,为制定合理的预防控制措施提供依据。方法收集2014年1月1日—6月30日16所医院1 453例接受四肢骨折手术患者的临床资料,进行单因素及多因素logistic回归分析。结果1 453例四肢骨折手术患者,发生SSI 12例,SSI发生率为0.83%。单因素分析结果显示,术前7 d是否存在其他部位感染、损伤至手术的时间、手术时机、手术持续时间、开放性骨折、切口类型及麻醉类型是四肢骨折SSI的危险因素(均P<0.05)。多因素logistic回归分析结果显示,切口类型、麻醉类型、开放性骨折、损伤至手术的时间及手术持续时间是四肢骨折术后SSI的独立危险因素,其OR及95% CI分别为12.47(2.78~15.88)、11.55(2.84~17.02)、10.79(2.72~11.13)、2.35(2.12~6.81)、3.07(1.88~4.13)。结论四肢骨折术后SSI是多因素综合作用所致,识别危险因素,加强重点环节管理,是预防和控制手术部位感染的关键。

    Abstract:

    ObjectiveTo evaluate the risk factors for surgical site infection(SSI) following limb fracture surgery,  and  provide basis for making prevention and control measures. MethodsClinical data of 1 453 patients undergoing limb fracture surgery in 16 hospitals between January 1, 2014 and June 30, 2014 were collected, risk factors for SSI were analyzed by univariate and multivariate logistic regression analysis. ResultsAmong 1 453 patients undergoing limb fracture surgery, 12 developed SSI(0.83%). Univariate analysis showed that risk factors for SSI following limb fracture surgery were infection at the other sites 7 days before operation, time from injury to operation, operation opportunity, duration of operation, open fracture, wound type, and anesthesia type ( all P<0.05). Multivariate logistic regression analysis showed that independent risk factors were wound type, anesthesia type, open fracture, time from injury to operation, and duration of operation, OR(95% CI) were 12.47(2.78-15.88),11.55(2.84-17.02),10.79(2.72-11.13),2.35(2.12-6.81), and 3.07(1.88-4.13)respectively. ConclusionRisk factors for SSI following limb fracture surgery are multiple, the key to the prevention and control of SSI are identifying risk factors and strengthening the management of key points.

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引用本文

芦永华,黄新玲, 何文英,等.四肢骨折手术部位感染危险因素多中心调查[J]. 中国感染控制杂志,2016,15(6):393-396. DOI:10.3969/j. issn.1671-9638.2016.06.007.
LU Yonghua, HUANG Xinling, HE Wenying, et al. Multicenter survey on risk factors for surgical site infection following limb fracture surgery[J]. Chin J Infect Control, 2016,15(6):393-396. DOI:10.3969/j. issn.1671-9638.2016.06.007.

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  • 收稿日期:2016-04-11
  • 最后修改日期:2016-05-09
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  • 在线发布日期: 2016-06-30
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