Targeted Supervision and Analysis of Surgical Site Infection_West China Medical Journal

Authors：

 ZHENGYuan ¹ , ZHANGLing ² , JIAOCheng-yuan ¹ , JIAMin ¹ , XIAOWei ¹ ,  QINYu-ping ¹

1. Department of Infection Control, the 37th Hospital of PLA, Ya'an, Sichuan 625000, P. R. China;
2. Department of Infection Control, Chengdu Military Command General Hospital of PLA, Chengdu, Sichuan 610083, P. R. China;

Corresponding?author：

QINYu-ping, Email: yangpq68@163.com

Keywords：

Surgical site infection; Targeted supervision; Prevention and control; Surgical patient

DOI：

10.7507/1002-0179.20140129

Video：

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Objective To analyze the relevant factors for surgical site infection. Methods A total of 677 cases of surgery in one hospital from July 1 to December 31 in 2012 were surveyed (not including implant and cardiac intervention surgeries), which were divided into different groups according to the preoperative incision contamination level, and the postoperative healing of incisions were observed closely. After the patients were discharged, we investigated the situation of incisions by phone or periodic review, and forms were filled in on schedule. Results By follow-up evaluation of the 677 cases, the incisions in 12 cases were infected and the infection rate was 1.77%. Polluted and infected (14.28%, 30.76%) incisions caused more infection than the clean and clean-polluted incisions (0.00%, 0.59%). The patients who stayed in hospital for 4 or more than 4 days before surgeries (infection rate was 4.55%) took more risk of infection than the patients whose preoperative time in hospital were 2-3 days (infection rate was 0.60%) and 1 or shorter than 1 day (0.68%). Perioperative use of antibiotics for longer than 72 hours will increase the risk of incision infection than those within 48 hours (7.69%, 0.00%; P=0.002). Conclusion Surgical site infection is related to the incision type. Shortening the preoperative in-hospital time will reduce the risk of infection. Long time use of antibiotics in perioperative period cannot prevent the postoperative infection effectively, but may increase the risk of infection.

Citation： ZHENGYuan, ZHANGLing, JIAOCheng-yuan, JIAMin, XIAOWei, QINYu-ping. Targeted Supervision and Analysis of Surgical Site Infection. West China Medical Journal, 2014, 29(3): 428-431. doi: 10.7507/1002-0179.20140129 Copy

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9.	葉惠韶, 張常然, 吳文輝, 等. 外科手術切口感染因素分析[J]. 中華醫院感染學雜志, 2010, 20(18):2782-2783.
10.	方旭, 李亞斐. 神經外科手術患者醫院感染及危險因素分析[J]. 中國感染控制雜志, 2013, 12(6):415-417.
11.	秦穎, 謝金蘭, 孫俊, 等. 剖胸術后手術部位感染的危險因素調查分析[J]. 中華醫院感染學雜志, 2011, 21(4):692-694.
12.	陳麗萍, 張淑平, 譚幕楊. 外科手術部位感染目標性監測及干預效果研究[J]. 華西醫學, 2013, 28(8):1155-1157.
13.	彭根英. 醫院感染相關的醫療糾紛病例感染因素調查與分析[J]. 中華醫院感染學雜志, 2010, 15(20):38-39.
14.	鄧敏. 手術部位感染的危險因素和預防策略[J]. 中國感染控制雜志, 2010, 9(2):73-75.

1. 洪錦蘭, 郝元濤. 手術部位感染相關因素研究進展[J]. 中華醫院感染學雜志, 2010, 20(5):748-750.
2. 中華人民共和國衛生部. WS/T 312-2009醫院感染監測規范[S]. 2009.
3. 中華人民共和國衛生部. 關于印發醫院感染診斷標準(試行)的通知[EB/OL]. (2001-11-09)[2013-01-05]. http://www.moh.gov.cn/yzygj/s3593/200804/e19e4448378643a09913ccf2a055c79d.shtml.
4. 中華人民共和國衛生部. 衛生部辦公廳關于印發《外科手術部位感染預防與控制技術指南(試行)》等三個技術文件的通知[EB/OL]. (2010-12-14)[2013-01-05]. http://www.moh.gov.cn/mohyzs/s3594/201012/50039.shtml.
5. Edwards JR, Peterson KD, Mu Y, et al. National healthcare safety network (NHSN) report:data summary for 2006 through 2008, issued December 2009[J]. Am J Infect Control, 2009, 37(10):783-805.
6. 龔瑞娥, 吳安華, 馮麗, 等. 外科手術部位感染的目標性監測[J]. 中國普通外科雜志, 2008, 17(7):724-726.
7. 趙剛, 高繼東, 周常麗, 等. 手術部位的感染因素及預防措施探討[J]. 中國實用醫藥, 2011, 6(28):237-238.
8. 齊曉彥. 手術部位感染控制[J]. 中華醫院感染學雜志, 2009, 19(14):1853-1854.
9. 葉惠韶, 張常然, 吳文輝, 等. 外科手術切口感染因素分析[J]. 中華醫院感染學雜志, 2010, 20(18):2782-2783.
10. 方旭, 李亞斐. 神經外科手術患者醫院感染及危險因素分析[J]. 中國感染控制雜志, 2013, 12(6):415-417.
11. 秦穎, 謝金蘭, 孫俊, 等. 剖胸術后手術部位感染的危險因素調查分析[J]. 中華醫院感染學雜志, 2011, 21(4):692-694.
12. 陳麗萍, 張淑平, 譚幕楊. 外科手術部位感染目標性監測及干預效果研究[J]. 華西醫學, 2013, 28(8):1155-1157.
13. 彭根英. 醫院感染相關的醫療糾紛病例感染因素調查與分析[J]. 中華醫院感染學雜志, 2010, 15(20):38-39.
14. 鄧敏. 手術部位感染的危險因素和預防策略[J]. 中國感染控制雜志, 2010, 9(2):73-75.

West China Medical Journal

Targeted Supervision and Analysis of Surgical Site Infection

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