经腹全子宫切除术手术部位感染目标性监测及集束化干预措施效果评估
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林虹

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R181.3+2 R713.4+2

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江苏省卫生和计划生育委员会2014—2015年度预防医学科研基金(Y2015018)


Efficacy of targeted monitoring and bundle intervention measures on surgical site infection following total abdominal hysterectomy
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    摘要:

    目的了解某三甲医院妇科经腹全子宫切除术手术部位感染(SSI)的发病率和集束化干预措施的依从性,评估集束化干预措施对SSI的预防控制效果。方法选取妇科2014年3月—2015年10月所有行经腹全子宫切除术的患者作为目标性监测对象,2014年3—9月为基线调查期,2014年10月—2015年10月为干预期(实施新集束化干预措施),比较干预前后各项干预措施的依从率,以及SSI发病率。结果共监测222例经腹全子宫切除术患者,SSI发病率为5.86%,手术P75时间为2 h。干预期传统措施依从率较基线期均有不同程度的提高,依从率提高幅度最大的是术后跟踪回访(64.16%),其次为术前会阴部消毒(39.07%)和手卫生(21.34%);而新干预措施依从率均达到100.00%。干预后经腹全子宫切除术SSI发病率为2.27%(3/132),低于干预前的11.11%(10/90),差异有统计学意义(χ2=7.583,P<0.05)。结论开展经腹全子宫切除术SSI目标性监测,可提高集束化干预措施的依从率,降低SSI发病率。

    Abstract:

    ObjectiveTo investigate the incidence of surgical site infection(SSI) and compliance to bundle intervention measures on SSI following total abdominal hysterectomy in patients in department of gynaecology of a tertiary firstlass hospital, and evaluate the efficacy of bundle intervention measures in prevention and control of SSI.MethodsFrom March 2014 to October 2015, all gynecology patients undergoing total abdominal hysterectomy were as targeted monitored subjects, MarchSeptember 2014 was baseline investigation stage, October 2014 to October 2015 was intervention stage(new bundle intervention measures were performed), compliance to bundle intervention measures and incidence of SSI before and after intervention were compared.ResultsA total of 222 episodes of total abdominal hysterectomy were monitored, the incidence of SSI was 5.86%, the operation P75 time were 2 hours. Compared with the baseline stage, the compliance to most traditional intervention measures improved after intervention, the largest increase in the compliance to interventions was followup after surgery (increased by 64.16%), followed by preoperative perineal disinfection(increased by 39.07%) and hand hygiene(increased by 21.34%). Compliance to new intervention measures was 100.00%. Incidence of SSI following total abdominal hysterectomy after intervention was significantly lower than before intervention(2.27%[3/132] vs 11.11%[10/90]), difference was significant (χ2=7.583, P<0.05).ConclusionTargeted monitoring on SSI following total abdominal hysterectomy can improve compliance to bundle intervention measures and decrease incidence of SSI.

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赵丽霞,杨乐,蒋鹏程,等.经腹全子宫切除术手术部位感染目标性监测及集束化干预措施效果评估[J]. 中国感染控制杂志,2016,15(12):949-951. DOI:10.3969/j. issn.1671-9638.2016.12.
ZHAO Lixia, YANG Le, JIANG Pengcheng, et al. Efficacy of targeted monitoring and bundle intervention measures on surgical site infection following total abdominal hysterectomy[J]. Chin J Infect Control, 2016,15(12):949-951. DOI:10.3969/j. issn.1671-9638.2016.12.

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  • 收稿日期:2016-03-21
  • 最后修改日期:2016-05-18
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  • 在线发布日期: 2016-12-30
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