中国医药科学2018，Vol.8Issue(24)：22-25,4.
四肢骨折内固定手术部位感染观察及防控研究
Observation and research on prevention and control of surgical site infection of internal fixation for limb fracture
孔德群 1朱剑 1叶峥 1孙思鑫 1刘宏鸣 1童飞1
作者信息
- 1. 江苏省泰兴市人民医院骨科,江苏泰兴 225400
- 折叠
摘要
Abstract
Objective To study risk factors and early prevention and control measures for surgical site infection of internal fixation for limb fracture. Methods 234 patients with limb fracture who underwent internal fixation in our hospital from July 2016 to June 2018 were retrospectively observed.Targeted monitoring was given to patients with highly suspected surgical site infection.Combined with professional knowledge, the high-risk risk factors of surgical site infection for internal fixation of limb fractures were analyzed, summed up and summarized.The multivariate Logistic stepwise regression model was established to strengthen the analysis of significant variables.And prevention and control measures were formulated for risk factors. Results 11 patients were infected and the infection rate was4.70％.The infection rate of deep tissues in the surgical site was lower than that of superficial tissues, and the difference was statistically significant (χ2=7.746, P=0.037 < 0.05).Single-factor analysis of surgical site infection of internal fixation for limb fracture showed that statistically significant factors included age, diabetes, type of fracture, operation time, intraoperative blood transfusion, time of negative pressure drainage catheterization, hand hygiene, prevention of antibiotic use, hospital stay and CD4+/CD8+ < 1 (P < 0.05).The multivariate Logistic regression model showed that diabetes, type of fracture, operation time, time of negative pressure drainage catheterization, hand hygiene and CD4+/CD8+< 1 were risk factors and prevention of antibiotics was a protective factor. Conclusion There are various risk factors for surgical site infection of internal fixation for limb fracture. Identifying the factors and taking corresponding prevention and control measures in the early stage can help reduce the source of infection risk and avoid surgical site infection.关键词
四肢骨折/内固定/手术部位/感染/因素Key words
Limb fracture/Internal fixation/Surgical site/Infection/Factors分类
医药卫生引用本文复制引用
孔德群,朱剑,叶峥,孙思鑫,刘宏鸣,童飞..四肢骨折内固定手术部位感染观察及防控研究[J].中国医药科学,2018,8(24):22-25,4.
