中国感染控制杂志2017，Vol.16Issue(1)：16-22,7.DOI:10.3969/j.issn.1671-9638.2017.01.004
脊柱手术后患者外科手术部位感染及相关危险因素
Surgical site infection and related risk factors among patients following spinal surgery
王建聪 1卢晓燕 2Gunnar Aksel Bjune 2Hanne Merete Eriksen1
作者信息
- 1. 挪威奥斯陆大学医学院健康与社会研究所社区医学与全球健康系,挪威奥斯陆0450
- 2. 广州中医药大学附属东莞市中医院,广东东莞523000
- 折叠
摘要
Abstract
Objective Surgical site infection (SSI) is associated with morbidity,increased healthcare costs and in some cases poor outcomes in patients.The purpose of this study was to identify the burden of SSI and the risk factors among hospitalized patients undergoing spinal surgery in a Chinese hospital.Methods A prospective cohort study was performed in patients who underwent spinal surgery in a hospital of traditional Chinese medicine (TCM) in China from June 26 to November 30 in 2014.SSI was diagnosed according to the Centers for Disease Control and Prevention (CDC) criteria of the U.S.,and was identified by bedside surveillance and post-discharge follow up.The detailed characteristics of pre-,intra-and post-operative patients were recorded with a standardized data collection form.Results A total of 192 patients with spinal surgery were included in the study,7(3.6％) of these patients developed SSI.Contaminated and dirty/infected wound,surgical drainage,and blood transfusion were associated with increased Odds of SSI by bivariate analysis.Intravenous antimicrobial prophylaxis (AMP) was given in 120 of 192 (62.5％) spinal surgery.The average duration of AMP administered was 2.2 days (range,1-9),139 (72.4％) of 192 patients were prescribed TCM after spinal surgery.Conclusion The incidence of SSI among patients after spinal surgery in a hospital of TCM in China was identified.This study is served as a reference for studying SSI in spinal surgery in future,and also provides the valuable information to formulate SSI prevention programs.关键词
外科手术部位感染/脊柱手术/医院感染/危险因素/中成药Key words
surgical site infection/spinal surgery/healthcare-associated infection/risk factor/traditional Chinese medicine分类
医药卫生引用本文复制引用
王建聪,卢晓燕,Gunnar Aksel Bjune,Hanne Merete Eriksen..脊柱手术后患者外科手术部位感染及相关危险因素[J].中国感染控制杂志,2017,16(1):16-22,7.
