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.	叶惠韶, 张常然, 吴文辉, 等. 外科手术切口感染因素分析[J]. 中华医院感染学杂志, 2010, 20(18):2782-2783.
10.	方旭, 李亚斐. 神经外科手术患者医院感染及危险因素分析[J]. 中国感染控制杂志, 2013, 12(6):415-417.
11.	秦颖, 谢金兰, 孙俊, 等. 剖胸术后手术部位感染的危险因素调查分析[J]. 中华医院感染学杂志, 2011, 21(4):692-694.
12.	陈丽萍, 张淑平, 谭幕杨. 外科手术部位感染目标性监测及干预效果研究[J]. 华西医学, 2013, 28(8):1155-1157.
13.	彭根英. 医院感染相关的医疗纠纷病例感染因素调查与分析[J]. 中华医院感染学杂志, 2010, 15(20):38-39.
14.	邓敏. 手术部位感染的危险因素和预防策略[J]. 中国感染控制杂志, 2010, 9(2):73-75.

1. 洪锦兰, 郝元涛. 手术部位感染相关因素研究进展[J]. 中华医院感染学杂志, 2010, 20(5):748-750.
2. 中华人民共和国卫生部. WS/T 312-2009医院感染监测规范[S]. 2009.
3. 中华人民共和国卫生部. 关于印发医院感染诊断标准(试行)的通知[EB/OL]. (2001-11-09)[2013-01-05]. http://www.moh.gov.cn/yzygj/s3593/200804/e19e4448378643a09913ccf2a055c79d.shtml.
4. 中华人民共和国卫生部. 卫生部办公厅关于印发《外科手术部位感染预防与控制技术指南(试行)》等三个技术文件的通知[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. 龚瑞娥, 吴安华, 冯丽, 等. 外科手术部位感染的目标性监测[J]. 中国普通外科杂志, 2008, 17(7):724-726.
7. 赵刚, 高继东, 周常丽, 等. 手术部位的感染因素及预防措施探讨[J]. 中国实用医药, 2011, 6(28):237-238.
8. 齐晓彦. 手术部位感染控制[J]. 中华医院感染学杂志, 2009, 19(14):1853-1854.
9. 叶惠韶, 张常然, 吴文辉, 等. 外科手术切口感染因素分析[J]. 中华医院感染学杂志, 2010, 20(18):2782-2783.
10. 方旭, 李亚斐. 神经外科手术患者医院感染及危险因素分析[J]. 中国感染控制杂志, 2013, 12(6):415-417.
11. 秦颖, 谢金兰, 孙俊, 等. 剖胸术后手术部位感染的危险因素调查分析[J]. 中华医院感染学杂志, 2011, 21(4):692-694.
12. 陈丽萍, 张淑平, 谭幕杨. 外科手术部位感染目标性监测及干预效果研究[J]. 华西医学, 2013, 28(8):1155-1157.
13. 彭根英. 医院感染相关的医疗纠纷病例感染因素调查与分析[J]. 中华医院感染学杂志, 2010, 15(20):38-39.
14. 邓敏. 手术部位感染的危险因素和预防策略[J]. 中国感染控制杂志, 2010, 9(2):73-75.

West China Medical Journal

Targeted Supervision and Analysis of Surgical Site Infection

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