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

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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. 吴安华, 任南, 文细毛, 等. 193所医院医院感染现患率调查分析[J]. 中华医院感染学杂志, 2002, 12(8):561-564.
2. 中华人民共和国卫生部. 医院感染诊断标准(试行)[J]. 现代实用医学, 2003, 81(7):460-465.
3. 李红, 黄小民, 韩燕茹. 116例住院患者Ⅰ类手术切口感染调查与分析[J]. 中华医院感染学杂志, 2005, 15(11):1241-1243.
4. 莫莉清, 施小明, 王美琴. 骨科手术切口感染64例相关因素分析与护理要点[J]. 中华现代中西医杂志, 2005, 3(10):948.
5. 林平, 金彩云, 吴钟琪. 手术切口感染调查与分析[J]. 中国热带医学, 2004, 4(1):115-116.
6. 颜志坚, 杨雪英, 麦伟. 182例骨科患者医院感染临床分析与对策[J]. 中华医院感染学杂志, 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. 蒋良芝. 感控干预对控制骨科手术部位感染的临床研究[J]. 吉林医学, 2010, 31(31):5526-5527.
9. 中华人民共和国卫生部. WS 310.1-2009医院消毒供应中心第1部分:管理规范[S]. 2009.
10. 任南, 冯丽, 文细毛, 等. 实用医院感染监测方法学[M]. 长沙:湖南科学技术出版社, 2012:172-173.
11. 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.
12. 任南, 冯丽, 文细毛, 等. 实用医院感染监测方法学[M]. 长沙:湖南科学技术出版社, 2012:172-173.
13. 鲜于舒铭, 林尤斌, 丘美娇, 等. 综合性医院医院感染横断面调查与分析[J]. 中华医院感染学杂志, 2007, 17(7):796-797.
14. 中华人民共和国卫生部. WS/T 367-2012医疗机构消毒技术规范[S]. 2012.
15. 胡必杰, 葛茂军, 关素敏, 等. 手术部位感染预防与控制最佳实践[M]. 上海:上海科学技术出版社, 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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