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目的:通过对骨科无菌手术切口感染病例的调查与分析,归纳感染的危险因素并研究控制感染的对策,为控制与预防骨科无菌手术切口感染寻找更有效的方法。方法:以A医院骨科2011年1月至2015年1月间,收治入院并进行无菌手术的1284例病患者为研究分析对象,研究其受感染的情况,并按是否发生无菌手术切口感染将其分为感染组与非感染组,对照分析两组的年龄、住院时间、手术持续时间等因素差异,对产生手术部位以及的危险菌群种类进行比照分析。结果:收治入院并进行无菌手术的1284例病患中发生切口感染的54例,感染率为4.28%。骨科无菌手术感染危险的菌群种类有金黄色葡萄球菌、表皮葡萄球菌、假单胞菌等。结论:在对骨科无菌手术感染的预防与控制中,需要根据感染因素分析,重点关注易感人群,提高感染防治意识,提高医护人员无菌操作控制,提高手术操作者技能,合理使用抗菌药物等等措施。
OBJECTIVE: To investigate and analyze the cases of incisional infection in orthopedic surgery and to summarize the risk factors of infection and to study the countermeasures of infection control in order to find out a more effective method for the control and prevention of incisional infection in orthopedic surgery. Methods: A hospital orthopedics from January 2011 to January 2015 between January 1, admitted to hospital and aseptic surgery of 1284 cases of patients for the analysis of the object to study the situation of its infection, and according to whether the occurrence of aseptic incision infection The patients were divided into infected group and non-infected group. The differences of age, hospitalization duration, operation duration and other factors between the two groups were compared and analyzed. Results: Among the 1284 patients admitted to hospital and undergoing aseptic surgery, 54 cases had incisional infection with an infection rate of 4.28%. Orthopedic surgery infection risk of bacteria flora Staphylococcus aureus, Staphylococcus epidermidis, Pseudomonas and so on. Conclusion: In the prevention and control of aseptic surgical infections in orthopedics, it is necessary to focus on the susceptible population, raise the awareness of infection prevention and control, improve the aseptic control of medical staff, improve the skills of the surgeons and make rational use of antimicrobial agents And so on measures.