中国医学科学院学报

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中国医学科学院学报

中国医学科学院学报 ›› 2017, Vol. 39 ›› Issue (2): 225-229.doi: 10.3881/j.issn.1000-503X.2017.02.010

• 论著 • 上一篇    下一篇

一起神经外科手术部位感染暴发的调查

牟霞, 杨怀, 王建怡()   

  1. 贵州省人民医院医院感染管理科,贵阳 550002
  • 收稿日期:2016-01-22 出版日期:2017-04-20 发布日期:2017-04-20
  • 作者简介:

    通信作者:王建怡 电话:0851-5623020,电子邮件:mumud117@163.com

  • 基金资助:
    贵州省科技基金(LS[2011]026、J [2012]2242)

An Outbreak of Surgical Site Infections in A Neurosurgical Ward

Xia MU, Huai YANG, Jianyi WANG()   

  1. Department of Hospital-acquired Infection Management,Guizhou Provincial People’s Hospital,Guiyang 550002,China
  • Received:2016-01-22 Online:2017-04-20 Published:2017-04-20
  • Supported by:
    Supported by the Science Foundation of Guizhou Province of China (LS[2011]026,J[2012]2242)

摘要:

目的 对某三甲综合医院神经外科暴发的一起手术部位感染进行调查。方法 根据统一设计的流行病学调查表对所有感染病例进行个案调查,用描述性流行病学方法分析病例分布情况,采用病例对照研究的方法,探讨本次暴发的危险因素。结果 自2014年2月5日至3月7日,神经外科共完成手术68例,发生手术部位感染9例,罹患率13.24%。术中使用速即纱的14例患者发生感染7例,未使用速即纱的54例患者中发生感染2例(χ2=16.637,P<0.001)。结论 本次手术部位感染可能与使用速即纱有关。

关键词: 手术部位感染, 速即纱, 暴发

Abstract:

Objective To survey an outbreak of surgical site infections in a neurosurgery ward of a tertiary hospital. Methods The patients of surgical site infection were investigated individually based on a uniformly designed epidemiological survey form. The distribution of cases was analyzed by characteristic epidemiology,and a case-control study was carried to explore the risk factors. Results A total of 9 patients with surgical site infections from February 5 to March 7,2014 were identified in 68 patients who had received surgery in a neurosurgery ward,yielding a prevalence of 13.24%. The infections occurred in 7 of 14 patients who had used surgicel,a hemostatic agent,and in 2 of 54 patients who had not used surgicel. (χ2=16.637,P<0.001). Conclusion The use of surgicel may be the cause of this surgical site infection outbreak.

Key words: surgical site infection, surgicel, outbreak

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