中国感染控制杂志2016,Vol.15Issue(6):393-396,4.DOI:10.3969/j.issn.1671-9638.2016.06.007
四肢骨折手术部位感染危险因素多中心调查
Multicenter survey on risk factors for surgical site infection following limb fracture surgery
摘要
Abstract
Objective To evaluate the risk factors for surgical site infection(SSI)following limb fracture surgery, and provide basis for making prevention and control measures.Methods Clinical 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.Results Among 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,opera-tion 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. Conclusion Risk 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.关键词
四肢骨折/骨折/手术部位感染/危险因素/医院感染Key words
limb fracture/fracture/surgical site infection/risk factor/healthcare-associated infection分类
医药卫生引用本文复制引用
芦永华,黄新玲,何文英,先疆燕..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):393-396,4.基金项目
中华医院感染控制研究基金 ()