Risk Factors and Preventive Measures of Surgical Site Infection_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 馬立斌 ^1,2 , 柴琛 ² ,  曹農 ²

1. ;
2. ;

Corresponding?author：

曹農, Email: caonong1955@126.com

Keywords：

外科手術部位感染; 因素; 預防措施

DOI：

10.7507/1007-9424.20140344

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Citation： 馬立斌, 柴琛, 曹農. Risk Factors and Preventive Measures of Surgical Site Infection. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(11): 1444-1447. doi: 10.7507/1007-9424.20140344 Copy

1.	?Petrosillo N, Drapeau CM, Nicastri E, et al.Surgical site infections in Italian Hospitals:a prospective multicenter study[J].BMC Infect Dis, 2008, 8:34.
2.	丁杰, 張忠民, 潘揚, 等.普通外科切口感染危險因素分析[J].中華醫院感染學雜志, 2009, 19(16):2106-2108.
3.	Mangram AJ, Horan TC, Pearson ML, et al.Guideline for prevention of surgical site infection, 1999.Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee[J].Am J Infect Control, 1999, 27(2):97-132.
4.	陳麗萍, 張淑平, 譚慕楊.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.
5.	Harrington G, Russo P, Spelman D, et al.Surgical-site infection rates and risk factor analysis in coronary artery bypass graft surgery[J].Infect Control Hosp Epidemiol, 2004, 25(6):472-476.
6.	Kadija S, Stefanovi? A, Jeremi? K, et al.Malignant disease as a risk factor for surgical site infection[J].Clin Exp Obstet Gynecol, 2012, 39(1):53-56.
7.	李金娜, 王寧寧, 劉芳菲, 等.外科手術部位感染危險因素的監測與分析[J].中華醫院感染學雜志, 2011, 21(12):2452-2454.
8.	田娟, 楊春.普通外科手術切口感染及相關危險因素分析[J].中國消毒學雜志, 2013, 30(6):563-564.
9.	李瑩, 黃存林, 朱小琴, 等.1878例外科腹部手術切口感染調查[J].中華醫院感染學雜志, 2006, 16(4):382-384.
10.	Mulhall AB, Chapman RG, Crow RA.Bacteriuria during indwelling urethral catheterization[J].J Hosp Infect, 1988, 11(3):253-262.
11.	黎沾良.合理應用抗生素預防疝和腹壁外科手術部位感染[J].外科理論與實踐, 2002, 7(6):415-416.
12.	李文斌, 潘亞男.72例急性闌尾炎術前應用抗生素臨床分析[J].當代醫學, 2010, 16(7):137.
13.	Kyoda Y, Takahashi S, Takeyama K, et al.Decrease in incidence of surgical site infections in contemporary series of patients with radical cystectomy[J].J Infect Chemother, 2010, 16(2):118-122.
14.	Togo Y, Tanaka S, Kanematsu A, et al.Antimicrobial prophylaxis to prevent perioperative infection in urological surgery:a multicenter study[J].J Infect Chemother, 2013, 19(6):1093-1101.
15.	鐘振鋒, 楊潔煒, 蕭幗穗, 等.某綜合醫院普通外科手術醫師切口感染專率調查[J].當代醫學, 2012, 18(16):4-5.
16.	馬紅麗.腹部外科手術切口感染的危險因素及對策[J].中華醫院感染學雜志, 2011, 21(7):1310-1312.
17.	Pessaux P, Msika S, Atalla D, et al.Risk factors for postoperative infectious complications in noncolorectal abdominal surgery:a multivariate analysis based on a prospective multicenter study of 4718 patients[J].Arch Surg, 2003, 138(3):314-324.
18.	Medeiros AC, Aires-Neto T, Azevedo GD, et al.Surgical site infection in a university hospital in Northeast Brazil[J].Braz J Infect Dis, 2005, 9(4):310-314.
19.	王小文, 李寧, 陳惠德, 等.肝移植術后患者抗生素相關性腸炎[J].中華醫院感染學雜志, 2005, 15(1):67-69.
20.	陳榮珠.淺談手術時間延長相關因素分析與干預手術時間對切口感染的影響[J].中國急救復蘇與災害醫學雜志, 2007, 2(10):635-636.
21.	張太平, 王天笑, 趙玉沛.上消化道重建手術縫線材料的合理選擇[J].中國實用外科雜志, 2012, 32(8):669-671.
22.	趙九芝, 矯玲, 張學香, 等.47例心臟瓣膜置換術后感染調查分析[J].中華醫院感染學雜志, 2003, 13(12):1126-1127.
23.	王剛, 劉榮.腹腔鏡和開腹肝切除的臨床對比研究[J].中國實用外科雜志, 2005, 25(10):617-620.
24.	McAnally HB, Cutter GR, Ruttenber AJ, et al.Hypothermia as a risk factor for pediatric cardiothoracic surgical site infection[J].Pediatr Infect Dis J, 2001, 20(4):459-462.
25.	陳剛, 肖樸, 花柱明, 等.胸外科手術預防性應用抗生素的臨床研究[J].中華醫院感染學雜志, 2003, 13(3):266-268.
26.	Walz JM, Paterson CA, Seligowski JM, et al.Surgical site infection following bowel surgery:a retrospective analysis of 1446 patients[J].Arch Surg, 2006, 141(10):1014-1018.
27.	陳進才.外科感染中常見的病原菌及其耐藥性分析[J].健康必讀:中旬刊, 2013, 12(4):223-223.
28.	丁國華, 高宏, 孟松偉.合理用藥評價[M].北京:化學工業出版社, 2006:133-134.
29.	Fiorio M, Marvaso A, ViganòF, et al.Incidence of surgical site infections in general surgery in Ital[J].Infection, 2006, 34(6):310-314.
30.	鐘林, 裘正軍, 陳國慶, 等.注射用頭孢美唑鈉預防術后感染及治療普外科感染的有效性與安全性評價[J].中華普通外科雜志, 2012, 27(4):295-298.
31.	許恒忠.我院外科系統預防性使用抗生素評價[J].中國醫院用藥評價與分析, 2008, 8(2):94-96.
32.	黎沾良.合理使用抗生素預防手術部位感染[J].中國普外基礎與臨床雜志, 2003, 10(1):14-15.
33.	張樹云.外科感染的預防[J].中國全科醫學雜志, 1999, 2(5):407-409.
34.	《應用抗菌藥物防治外科感染的指導意見》撰寫協作組.應用抗菌藥物防治外科感染的指導意見(草案)Ⅰ[J].中華外科雜志, 2003, 41(6):468-470.
35.	王愛, 周炯, 馬小軍, 等.胰腺外科手術部位感染率及危險因素分析[J].中國醫學科學院學報, 2007, 29(4):562-565.
36.	王代敏.外科手術部位感染目標性監測分析[J].內蒙古中醫藥, 2012, 31(12):71-72.
37.	Shabanzadeh DM, S?rensen LT.Laparoscopic surgery compared with open surgery decreases surgical site infection in obese patients:a systematic review and meta-analysis[J].Ann Surg, 2012, 256(6):934-945.

1. ?Petrosillo N, Drapeau CM, Nicastri E, et al.Surgical site infections in Italian Hospitals:a prospective multicenter study[J].BMC Infect Dis, 2008, 8:34.
2. 丁杰, 張忠民, 潘揚, 等.普通外科切口感染危險因素分析[J].中華醫院感染學雜志, 2009, 19(16):2106-2108.
3. Mangram AJ, Horan TC, Pearson ML, et al.Guideline for prevention of surgical site infection, 1999.Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee[J].Am J Infect Control, 1999, 27(2):97-132.
4. 陳麗萍, 張淑平, 譚慕楊.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.
5. Harrington G, Russo P, Spelman D, et al.Surgical-site infection rates and risk factor analysis in coronary artery bypass graft surgery[J].Infect Control Hosp Epidemiol, 2004, 25(6):472-476.
6. Kadija S, Stefanovi? A, Jeremi? K, et al.Malignant disease as a risk factor for surgical site infection[J].Clin Exp Obstet Gynecol, 2012, 39(1):53-56.
7. 李金娜, 王寧寧, 劉芳菲, 等.外科手術部位感染危險因素的監測與分析[J].中華醫院感染學雜志, 2011, 21(12):2452-2454.
8. 田娟, 楊春.普通外科手術切口感染及相關危險因素分析[J].中國消毒學雜志, 2013, 30(6):563-564.
9. 李瑩, 黃存林, 朱小琴, 等.1878例外科腹部手術切口感染調查[J].中華醫院感染學雜志, 2006, 16(4):382-384.
10. Mulhall AB, Chapman RG, Crow RA.Bacteriuria during indwelling urethral catheterization[J].J Hosp Infect, 1988, 11(3):253-262.
11. 黎沾良.合理應用抗生素預防疝和腹壁外科手術部位感染[J].外科理論與實踐, 2002, 7(6):415-416.
12. 李文斌, 潘亞男.72例急性闌尾炎術前應用抗生素臨床分析[J].當代醫學, 2010, 16(7):137.
13. Kyoda Y, Takahashi S, Takeyama K, et al.Decrease in incidence of surgical site infections in contemporary series of patients with radical cystectomy[J].J Infect Chemother, 2010, 16(2):118-122.
14. Togo Y, Tanaka S, Kanematsu A, et al.Antimicrobial prophylaxis to prevent perioperative infection in urological surgery:a multicenter study[J].J Infect Chemother, 2013, 19(6):1093-1101.
15. 鐘振鋒, 楊潔煒, 蕭幗穗, 等.某綜合醫院普通外科手術醫師切口感染專率調查[J].當代醫學, 2012, 18(16):4-5.
16. 馬紅麗.腹部外科手術切口感染的危險因素及對策[J].中華醫院感染學雜志, 2011, 21(7):1310-1312.
17. Pessaux P, Msika S, Atalla D, et al.Risk factors for postoperative infectious complications in noncolorectal abdominal surgery:a multivariate analysis based on a prospective multicenter study of 4718 patients[J].Arch Surg, 2003, 138(3):314-324.
18. Medeiros AC, Aires-Neto T, Azevedo GD, et al.Surgical site infection in a university hospital in Northeast Brazil[J].Braz J Infect Dis, 2005, 9(4):310-314.
19. 王小文, 李寧, 陳惠德, 等.肝移植術后患者抗生素相關性腸炎[J].中華醫院感染學雜志, 2005, 15(1):67-69.
20. 陳榮珠.淺談手術時間延長相關因素分析與干預手術時間對切口感染的影響[J].中國急救復蘇與災害醫學雜志, 2007, 2(10):635-636.
21. 張太平, 王天笑, 趙玉沛.上消化道重建手術縫線材料的合理選擇[J].中國實用外科雜志, 2012, 32(8):669-671.
22. 趙九芝, 矯玲, 張學香, 等.47例心臟瓣膜置換術后感染調查分析[J].中華醫院感染學雜志, 2003, 13(12):1126-1127.
23. 王剛, 劉榮.腹腔鏡和開腹肝切除的臨床對比研究[J].中國實用外科雜志, 2005, 25(10):617-620.
24. McAnally HB, Cutter GR, Ruttenber AJ, et al.Hypothermia as a risk factor for pediatric cardiothoracic surgical site infection[J].Pediatr Infect Dis J, 2001, 20(4):459-462.
25. 陳剛, 肖樸, 花柱明, 等.胸外科手術預防性應用抗生素的臨床研究[J].中華醫院感染學雜志, 2003, 13(3):266-268.
26. Walz JM, Paterson CA, Seligowski JM, et al.Surgical site infection following bowel surgery:a retrospective analysis of 1446 patients[J].Arch Surg, 2006, 141(10):1014-1018.
27. 陳進才.外科感染中常見的病原菌及其耐藥性分析[J].健康必讀:中旬刊, 2013, 12(4):223-223.
28. 丁國華, 高宏, 孟松偉.合理用藥評價[M].北京:化學工業出版社, 2006:133-134.
29. Fiorio M, Marvaso A, ViganòF, et al.Incidence of surgical site infections in general surgery in Ital[J].Infection, 2006, 34(6):310-314.
30. 鐘林, 裘正軍, 陳國慶, 等.注射用頭孢美唑鈉預防術后感染及治療普外科感染的有效性與安全性評價[J].中華普通外科雜志, 2012, 27(4):295-298.
31. 許恒忠.我院外科系統預防性使用抗生素評價[J].中國醫院用藥評價與分析, 2008, 8(2):94-96.
32. 黎沾良.合理使用抗生素預防手術部位感染[J].中國普外基礎與臨床雜志, 2003, 10(1):14-15.
33. 張樹云.外科感染的預防[J].中國全科醫學雜志, 1999, 2(5):407-409.
34. 《應用抗菌藥物防治外科感染的指導意見》撰寫協作組.應用抗菌藥物防治外科感染的指導意見(草案)Ⅰ[J].中華外科雜志, 2003, 41(6):468-470.
35. 王愛, 周炯, 馬小軍, 等.胰腺外科手術部位感染率及危險因素分析[J].中國醫學科學院學報, 2007, 29(4):562-565.
36. 王代敏.外科手術部位感染目標性監測分析[J].內蒙古中醫藥, 2012, 31(12):71-72.
37. Shabanzadeh DM, S?rensen LT.Laparoscopic surgery compared with open surgery decreases surgical site infection in obese patients:a systematic review and meta-analysis[J].Ann Surg, 2012, 256(6):934-945.

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Risk Factors and Preventive Measures of Surgical Site Infection

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