中国感染控制杂志Issue(11)：757-760,765,5.DOI:10.3969/j.issn.1671-9638.2015.11.010
手术部位感染目标性监测及干预效果评价
Targeted monitoring on surgical site infection and effect of intervention
摘要
Abstract
Objective To explore the incidence of surgical site infection (SSI)and compliance to bundled interven-tion measures,and evaluate the effect of bundled interventions on controlling SSI.Methods From October 2013 to September 2014,three types of surgeries (colorectal surgery,abdominal hysterectomy,and femoral neck repair sur-gery)in 29 hospitals in China were monitored,October 2013 to March 2014 was baseline investigated stage,April 2014 to September 2014 was intervention stage.Results A total of 6 166 episodes of surgeries were monitored,the incidence of SSI was 1 .64%,incidence of SSI following colorectal surgery,abdominal hysterectomy,and femoral neck repair surgery were 4.47%,1 .03%,and 0.21 % respectively.The P 75 time of three types of surgeries were 3,2,and 2 hours respectively.Compared with the baseline stage,the compliance to most intervention measures im-proved after intervention,the largest increase in the compliance to interventions was disinfection with chlorhexidine-containing disinfectant at surgical sites of colorectal surgery (increased by 29.09%),followed by preoperative shower of femoral neck repair surgery (increased by 26.24%),preoperative shower of colorectal surgery(increased by 22.95%),and skin preparation on the day of operation (increased by 20.75%).Incidences of SSI in three types of surgeries were not significantly different before and after intervention(all P >0.05).Conclusion The incidences of SSI are different among different types of surgeries,the compliance to most bundled intervention measures has im-proved to some extent after intervention,but effectiveness of intervention measures needs to be further observed.关键词
手术部位感染/集束化干预措施/干预研究/目标监测/依从性Key words
surgical site infection/bundled intervention measure/intervention study/targeted monitoring/com-pliance分类
医药卫生引用本文复制引用
张玉,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,李正康,侯铁英,李六亿,贾会学,陆群,建国,杨怀,刘运喜,李卫光..手术部位感染目标性监测及干预效果评价[J].中国感染控制杂志,2015,(11):757-760,765,5.基金项目
医院感染预防与控制能力建设项目 （）
