Analysis on the Risk Factors for Orthopedic Perioperative Surgical Site Infection and the Nursing Countermeasures_West China Medical Journal

Authors：

 FANGui-hong , GUYun-feng , HOULi , CHENRong , ZHOUYing

Department of Hospital Infection Control, the Third People's Hospital of Mianyang, Mianyang, Sichuan 621000, P. R. China;

Corresponding?author：

Keywords：

Orthopedic; Perioperative; Surgical site infection; Risk factors; Nursing intervention

DOI：

10.7507/1002-0179.20140700

Video：

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Objective To explore the risk factors for and preventive measures of orthopedic perioperative surgical site infection. Methods We retrospectively analyzed the clinical data of 2 752 cases of orthopedic surgery performed from January 2010 to December 2012. The risk factors for such infection were analyzed and certain preventive measures were put forward. Results A total of 97 patients were infected with a surgical site infection rate of 3.52%. The surgical site infection was closely related to ages, basic diseases, surgical site, types of incision, preoperative hospital stay, operative time, urgent elective surgery, the use of antibiotics, medical staff hand hygiene and other factors, of which the rate of infection after amputation was the highest, reaching 23.81% (20/84). Conclusion Making full preparations before operation, strengthening medical staff's hand disinfection, prophylactic antibiotics, good precautions and regulations in operation, and nursing meticulously after operation can be taken to prevent and reduce surgical site infection in orthopedic operation patients effectively.

Citation： FANGui-hong, GUYun-feng, HOULi, CHENRong, ZHOUYing. Analysis on the Risk Factors for Orthopedic Perioperative Surgical Site Infection and the Nursing Countermeasures. West China Medical Journal, 2014, 29(12): 2315-2318. doi: 10.7507/1002-0179.20140700 Copy

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1. 吳安華, 任南, 文細毛, 等. 193所醫院醫院感染現患率調查分析[J]. 中華醫院感染學雜志, 2002, 12(8):561-564.
2. 中華人民共和國衛生部. 醫院感染診斷標準(試行)[J]. 現代實用醫學, 2003, 81(7):460-465.
3. 李紅, 黃小民, 韓燕茹. 116例住院患者Ⅰ類手術切口感染調查與分析[J]. 中華醫院感染學雜志, 2005, 15(11):1241-1243.
4. 莫莉清, 施小明, 王美琴. 骨科手術切口感染64例相關因素分析與護理要點[J]. 中華現代中西醫雜志, 2005, 3(10):948.
5. 林平, 金彩云, 吳鐘琪. 手術切口感染調查與分析[J]. 中國熱帶醫學, 2004, 4(1):115-116.
6. 顏志堅, 楊雪英, 麥偉. 182例骨科患者醫院感染臨床分析與對策[J]. 中華醫院感染學雜志, 2005, 15(2):155-157.
7. Turina M, Fry DE, Polk HC. Acute hyperglycemia and the innate immune system:clinical, cellular, and molecular aspects[J]. Crit Care Med, 2005, 33(7):1624-1633.
8. 蔣良芝. 感控干預對控制骨科手術部位感染的臨床研究[J]. 吉林醫學, 2010, 31(31):5526-5527.
9. 中華人民共和國衛生部. WS 310.1-2009醫院消毒供應中心第1部分:管理規范[S]. 2009.
10. 任南, 馮麗, 文細毛, 等. 實用醫院感染監測方法學[M]. 長沙:湖南科學技術出版社, 2012:172-173.
11. 中華人民共和國衛生部. 衛生部辦公廳關于印發《外科手術部位感染預防與控制技術指南(試行)》等三個技術文件的通知[EB/OL]. (2010-12-14)[2013-01-05]. http://www.moh.gov.cn/mohyzs/s3594/201012/50039.shtml.
12. 任南, 馮麗, 文細毛, 等. 實用醫院感染監測方法學[M]. 長沙:湖南科學技術出版社, 2012:172-173.
13. 鮮于舒銘, 林尤斌, 丘美嬌, 等. 綜合性醫院醫院感染橫斷面調查與分析[J]. 中華醫院感染學雜志, 2007, 17(7):796-797.
14. 中華人民共和國衛生部. WS/T 367-2012醫療機構消毒技術規范[S]. 2012.
15. 胡必杰, 葛茂軍, 關素敏, 等. 手術部位感染預防與控制最佳實踐[M]. 上海:上海科學技術出版社, 2012:35-123.
16. Kurz A. Thermal care in the perioperative period[J]. Best Pract Res Clin Anaesthesiol, 2008, 22(1):39-62.
17. Kumar S, Wong P F, Melling A C, et al. Effects of perioperative hypothermia and warming in surgical practice[J]. Int Wound J, 2005, 2(3):193-204.

West China Medical Journal

Analysis on the Risk Factors for Orthopedic Perioperative Surgical Site Infection and the Nursing Countermeasures

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