Analysis on the Monitoring Results of Orthopedic Surgery Incision Infection_West China Medical Journal

Authors：

 XIANGLi-jia ,  ZENGYong , CAOFang , LUOTing , WANGMin , ZHENGXiao-hong

Department of Nosocomial Infection Management, the Second People's Hospital of Chengdu, Chengdu, Sichuan 610021, P. R. China;

Corresponding?author：

ZENGYong, Email: zysh2929@163.com

Keywords：

Hospital infection; Surgical site infection; Orthopedic surgery

DOI：

10.7507/1002-0179.20150139

Video：

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Objective To study the present situation of hospital orthopedic surgery incision infection, in order to provide the basis for further intervention. Methods Prospective investigation combined with retrospective investigation method was adopted in our study to perform a statistical analysis on orthopedic surgery incision infections among 545 patients in our hospital between January and December 2012. Results During the one year of follow-up, there were 10 cases of surgical incision infection among all the 545 patients, with an infection rate of 1.83%. The infection rate of class-Ⅰ incision was 0.46%, of class-Ⅱ was 5.13%, and of class-Ⅲ/Ⅳ was 12.12%, and the Cochrane-Armitage trend chi-square test showed significant trend among them (χ²=28.273, P<0.001). Based on different operation risk index, patients with index 1, 2, 3 had a surgical site infection rate of 0.82%, 2.60%, and 18.75%, respectively. The higher the index, the higher the surgery incision infection rate, and the trend was statistically significant (χ²=12.916, P<0.001). The infection rate was 1.43% for elective surgical procedures, and was 3.15% for emergency surgery, but there was no significant difference (P>0.05). Conclusion Orthopedic surgery has a high-risk surgical site infection rate, and incision classification and surgical risk index have statistical correlation with the incidence of hospital infection. In order to ensure the security of patients and reduce medical disputes, we should pay close attention to orthopedic surgery infection.

Citation： XIANGLi-jia, ZENGYong, CAOFang, LUOTing, WANGMin, ZHENGXiao-hong. Analysis on the Monitoring Results of Orthopedic Surgery Incision Infection. West China Medical Journal, 2015, 30(3): 492-495. doi: 10.7507/1002-0179.20150139 Copy

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11.	宋昭君, 張為, 倪衛東. 骨科無菌手術切口感染原因分析與對策[J]. 重慶醫學, 2011, 40(35):3636-3637.
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1. 黎慶蓮. 骨科手術中感染的預防及護理管理[J]. 國際醫藥衛生導報, 2005, 11(4):118-119.
2. 魏全珍, 鐘馥霞, 劉麗華, 等. 超廣譜β-內酰胺酶細菌檢測及耐藥性分析[J]. 中華醫院感染學雜志, 2006, 16(2):221-223.
3. Thomas R, Wood AM, Waston J, et al. Delay in diagnosis of neck of femur stress fracture in a female military recruit[J]. J Royal Naval Med Serv, 2012, 98(2):27.
4. 中華人民共和國衛生部. 醫院感染診斷標準(試行)[J]. 中華醫學雜志,2001, 81(5):314-320.
5. 中華人民共和國衛生部. WS/T 312-2009醫院感染監測規范[S]. 北京:人民衛生出版社, 2009.
6. Martone WJ, Jarvis WR, Culver DH, et al. Incidence and natures of endemic and epidemic nosocomial infections[M]//Bennett JV, Brachman PS. Hospital infections. 3rd ed. Boston:Little, Brown and Co, 1992:577-596.
7. 李紅, 王洪源, 趙愛民. 骨科手術部位感染分析[J]. 中華醫院感染學雜志, 2008, 18(10):1384-1386.
8. 張菊, 蘇維, 李剛. 成都市某二級甲等醫院發生術后醫院感染現狀及相關因素研究[J]. 華西醫學, 2014, 29(3):440-444.
9. 盛希, 蔣維連, 蔣麗. 骨科手術切口感染相關危險因素分析[J]. 中華醫院感染學雜志, 2014, 24(17):4314-4316.
10. 張洪鳳, 趙力, 李青, 等. 980例膝關節鏡術切口感染的預防[J]. 中華醫院感染學雜志, 2010(22):3492-3493.
11. 宋昭君, 張為, 倪衛東. 骨科無菌手術切口感染原因分析與對策[J]. 重慶醫學, 2011, 40(35):3636-3637.
12. 龔平. 骨科手術中如何預防和減少感染[J]. 中外醫療, 2009, 28(2):41-42.
13. 廖澤飛, 陳一杰, 吳淼, 等. 腹部手術切口感染原因分析[J]. 臨床軍醫雜志, 2007, 35(2):219-221.
14. 黎沾良. 外科臨床中預防性和治療性應用抗生素的區別和原則[J]. 中國實用外科雜志, 2001, 21(1):4.

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West China Medical Journal

Analysis on the Monitoring Results of Orthopedic Surgery Incision Infection

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