Risk Factors and Preventive Measures of Surgical Site Infection_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 马立斌 ^1,2 , 柴琛 ² ,  曹农 ²

1. ;
2. ;

Corresponding author：

曹农, Email: caonong1955@126.com

Keywords：

外科手术部位感染; 因素; 预防措施

DOI：

10.7507/1007-9424.20140344

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Citation： 马立斌, 柴琛, 曹农. Risk Factors and Preventive Measures of Surgical Site Infection. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(11): 1444-1447. doi: 10.7507/1007-9424.20140344 Copy

1.	Petrosillo N, Drapeau CM, Nicastri E, et al.Surgical site infections in Italian Hospitals:a prospective multicenter study[J].BMC Infect Dis, 2008, 8:34.
2.	丁杰, 张忠民, 潘扬, 等.普通外科切口感染危险因素分析[J].中华医院感染学杂志, 2009, 19(16):2106-2108.
3.	Mangram AJ, Horan TC, Pearson ML, et al.Guideline for prevention of surgical site infection, 1999.Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee[J].Am J Infect Control, 1999, 27(2):97-132.
4.	陈丽萍, 张淑平, 谭慕杨.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.
5.	Harrington G, Russo P, Spelman D, et al.Surgical-site infection rates and risk factor analysis in coronary artery bypass graft surgery[J].Infect Control Hosp Epidemiol, 2004, 25(6):472-476.
6.	Kadija S, Stefanović A, Jeremić K, et al.Malignant disease as a risk factor for surgical site infection[J].Clin Exp Obstet Gynecol, 2012, 39(1):53-56.
7.	李金娜, 王宁宁, 刘芳菲, 等.外科手术部位感染危险因素的监测与分析[J].中华医院感染学杂志, 2011, 21(12):2452-2454.
8.	田娟, 杨春.普通外科手术切口感染及相关危险因素分析[J].中国消毒学杂志, 2013, 30(6):563-564.
9.	李莹, 黄存林, 朱小琴, 等.1878例外科腹部手术切口感染调查[J].中华医院感染学杂志, 2006, 16(4):382-384.
10.	Mulhall AB, Chapman RG, Crow RA.Bacteriuria during indwelling urethral catheterization[J].J Hosp Infect, 1988, 11(3):253-262.
11.	黎沾良.合理应用抗生素预防疝和腹壁外科手术部位感染[J].外科理论与实践, 2002, 7(6):415-416.
12.	李文斌, 潘亚男.72例急性阑尾炎术前应用抗生素临床分析[J].当代医学, 2010, 16(7):137.
13.	Kyoda Y, Takahashi S, Takeyama K, et al.Decrease in incidence of surgical site infections in contemporary series of patients with radical cystectomy[J].J Infect Chemother, 2010, 16(2):118-122.
14.	Togo Y, Tanaka S, Kanematsu A, et al.Antimicrobial prophylaxis to prevent perioperative infection in urological surgery:a multicenter study[J].J Infect Chemother, 2013, 19(6):1093-1101.
15.	钟振锋, 杨洁炜, 萧帼穗, 等.某综合医院普通外科手术医师切口感染专率调查[J].当代医学, 2012, 18(16):4-5.
16.	马红丽.腹部外科手术切口感染的危险因素及对策[J].中华医院感染学杂志, 2011, 21(7):1310-1312.
17.	Pessaux P, Msika S, Atalla D, et al.Risk factors for postoperative infectious complications in noncolorectal abdominal surgery:a multivariate analysis based on a prospective multicenter study of 4718 patients[J].Arch Surg, 2003, 138(3):314-324.
18.	Medeiros AC, Aires-Neto T, Azevedo GD, et al.Surgical site infection in a university hospital in Northeast Brazil[J].Braz J Infect Dis, 2005, 9(4):310-314.
19.	王小文, 李宁, 陈惠德, 等.肝移植术后患者抗生素相关性肠炎[J].中华医院感染学杂志, 2005, 15(1):67-69.
20.	陈荣珠.浅谈手术时间延长相关因素分析与干预手术时间对切口感染的影响[J].中国急救复苏与灾害医学杂志, 2007, 2(10):635-636.
21.	张太平, 王天笑, 赵玉沛.上消化道重建手术缝线材料的合理选择[J].中国实用外科杂志, 2012, 32(8):669-671.
22.	赵九芝, 矫玲, 张学香, 等.47例心脏瓣膜置换术后感染调查分析[J].中华医院感染学杂志, 2003, 13(12):1126-1127.
23.	王刚, 刘荣.腹腔镜和开腹肝切除的临床对比研究[J].中国实用外科杂志, 2005, 25(10):617-620.
24.	McAnally HB, Cutter GR, Ruttenber AJ, et al.Hypothermia as a risk factor for pediatric cardiothoracic surgical site infection[J].Pediatr Infect Dis J, 2001, 20(4):459-462.
25.	陈刚, 肖朴, 花柱明, 等.胸外科手术预防性应用抗生素的临床研究[J].中华医院感染学杂志, 2003, 13(3):266-268.
26.	Walz JM, Paterson CA, Seligowski JM, et al.Surgical site infection following bowel surgery:a retrospective analysis of 1446 patients[J].Arch Surg, 2006, 141(10):1014-1018.
27.	陈进才.外科感染中常见的病原菌及其耐药性分析[J].健康必读:中旬刊, 2013, 12(4):223-223.
28.	丁国华, 高宏, 孟松伟.合理用药评价[M].北京:化学工业出版社, 2006:133-134.
29.	Fiorio M, Marvaso A, ViganòF, et al.Incidence of surgical site infections in general surgery in Ital[J].Infection, 2006, 34(6):310-314.
30.	钟林, 裘正军, 陈国庆, 等.注射用头孢美唑钠预防术后感染及治疗普外科感染的有效性与安全性评价[J].中华普通外科杂志, 2012, 27(4):295-298.
31.	许恒忠.我院外科系统预防性使用抗生素评价[J].中国医院用药评价与分析, 2008, 8(2):94-96.
32.	黎沾良.合理使用抗生素预防手术部位感染[J].中国普外基础与临床杂志, 2003, 10(1):14-15.
33.	张树云.外科感染的预防[J].中国全科医学杂志, 1999, 2(5):407-409.
34.	《应用抗菌药物防治外科感染的指导意见》撰写协作组.应用抗菌药物防治外科感染的指导意见(草案)Ⅰ[J].中华外科杂志, 2003, 41(6):468-470.
35.	王爱, 周炯, 马小军, 等.胰腺外科手术部位感染率及危险因素分析[J].中国医学科学院学报, 2007, 29(4):562-565.
36.	王代敏.外科手术部位感染目标性监测分析[J].内蒙古中医药, 2012, 31(12):71-72.
37.	Shabanzadeh DM, Sørensen LT.Laparoscopic surgery compared with open surgery decreases surgical site infection in obese patients:a systematic review and meta-analysis[J].Ann Surg, 2012, 256(6):934-945.

1. Petrosillo N, Drapeau CM, Nicastri E, et al.Surgical site infections in Italian Hospitals:a prospective multicenter study[J].BMC Infect Dis, 2008, 8:34.
2. 丁杰, 张忠民, 潘扬, 等.普通外科切口感染危险因素分析[J].中华医院感染学杂志, 2009, 19(16):2106-2108.
3. Mangram AJ, Horan TC, Pearson ML, et al.Guideline for prevention of surgical site infection, 1999.Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee[J].Am J Infect Control, 1999, 27(2):97-132.
4. 陈丽萍, 张淑平, 谭慕杨.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.
5. Harrington G, Russo P, Spelman D, et al.Surgical-site infection rates and risk factor analysis in coronary artery bypass graft surgery[J].Infect Control Hosp Epidemiol, 2004, 25(6):472-476.
6. Kadija S, Stefanović A, Jeremić K, et al.Malignant disease as a risk factor for surgical site infection[J].Clin Exp Obstet Gynecol, 2012, 39(1):53-56.
7. 李金娜, 王宁宁, 刘芳菲, 等.外科手术部位感染危险因素的监测与分析[J].中华医院感染学杂志, 2011, 21(12):2452-2454.
8. 田娟, 杨春.普通外科手术切口感染及相关危险因素分析[J].中国消毒学杂志, 2013, 30(6):563-564.
9. 李莹, 黄存林, 朱小琴, 等.1878例外科腹部手术切口感染调查[J].中华医院感染学杂志, 2006, 16(4):382-384.
10. Mulhall AB, Chapman RG, Crow RA.Bacteriuria during indwelling urethral catheterization[J].J Hosp Infect, 1988, 11(3):253-262.
11. 黎沾良.合理应用抗生素预防疝和腹壁外科手术部位感染[J].外科理论与实践, 2002, 7(6):415-416.
12. 李文斌, 潘亚男.72例急性阑尾炎术前应用抗生素临床分析[J].当代医学, 2010, 16(7):137.
13. Kyoda Y, Takahashi S, Takeyama K, et al.Decrease in incidence of surgical site infections in contemporary series of patients with radical cystectomy[J].J Infect Chemother, 2010, 16(2):118-122.
14. Togo Y, Tanaka S, Kanematsu A, et al.Antimicrobial prophylaxis to prevent perioperative infection in urological surgery:a multicenter study[J].J Infect Chemother, 2013, 19(6):1093-1101.
15. 钟振锋, 杨洁炜, 萧帼穗, 等.某综合医院普通外科手术医师切口感染专率调查[J].当代医学, 2012, 18(16):4-5.
16. 马红丽.腹部外科手术切口感染的危险因素及对策[J].中华医院感染学杂志, 2011, 21(7):1310-1312.
17. Pessaux P, Msika S, Atalla D, et al.Risk factors for postoperative infectious complications in noncolorectal abdominal surgery:a multivariate analysis based on a prospective multicenter study of 4718 patients[J].Arch Surg, 2003, 138(3):314-324.
18. Medeiros AC, Aires-Neto T, Azevedo GD, et al.Surgical site infection in a university hospital in Northeast Brazil[J].Braz J Infect Dis, 2005, 9(4):310-314.
19. 王小文, 李宁, 陈惠德, 等.肝移植术后患者抗生素相关性肠炎[J].中华医院感染学杂志, 2005, 15(1):67-69.
20. 陈荣珠.浅谈手术时间延长相关因素分析与干预手术时间对切口感染的影响[J].中国急救复苏与灾害医学杂志, 2007, 2(10):635-636.
21. 张太平, 王天笑, 赵玉沛.上消化道重建手术缝线材料的合理选择[J].中国实用外科杂志, 2012, 32(8):669-671.
22. 赵九芝, 矫玲, 张学香, 等.47例心脏瓣膜置换术后感染调查分析[J].中华医院感染学杂志, 2003, 13(12):1126-1127.
23. 王刚, 刘荣.腹腔镜和开腹肝切除的临床对比研究[J].中国实用外科杂志, 2005, 25(10):617-620.
24. McAnally HB, Cutter GR, Ruttenber AJ, et al.Hypothermia as a risk factor for pediatric cardiothoracic surgical site infection[J].Pediatr Infect Dis J, 2001, 20(4):459-462.
25. 陈刚, 肖朴, 花柱明, 等.胸外科手术预防性应用抗生素的临床研究[J].中华医院感染学杂志, 2003, 13(3):266-268.
26. Walz JM, Paterson CA, Seligowski JM, et al.Surgical site infection following bowel surgery:a retrospective analysis of 1446 patients[J].Arch Surg, 2006, 141(10):1014-1018.
27. 陈进才.外科感染中常见的病原菌及其耐药性分析[J].健康必读:中旬刊, 2013, 12(4):223-223.
28. 丁国华, 高宏, 孟松伟.合理用药评价[M].北京:化学工业出版社, 2006:133-134.
29. Fiorio M, Marvaso A, ViganòF, et al.Incidence of surgical site infections in general surgery in Ital[J].Infection, 2006, 34(6):310-314.
30. 钟林, 裘正军, 陈国庆, 等.注射用头孢美唑钠预防术后感染及治疗普外科感染的有效性与安全性评价[J].中华普通外科杂志, 2012, 27(4):295-298.
31. 许恒忠.我院外科系统预防性使用抗生素评价[J].中国医院用药评价与分析, 2008, 8(2):94-96.
32. 黎沾良.合理使用抗生素预防手术部位感染[J].中国普外基础与临床杂志, 2003, 10(1):14-15.
33. 张树云.外科感染的预防[J].中国全科医学杂志, 1999, 2(5):407-409.
34. 《应用抗菌药物防治外科感染的指导意见》撰写协作组.应用抗菌药物防治外科感染的指导意见(草案)Ⅰ[J].中华外科杂志, 2003, 41(6):468-470.
35. 王爱, 周炯, 马小军, 等.胰腺外科手术部位感染率及危险因素分析[J].中国医学科学院学报, 2007, 29(4):562-565.
36. 王代敏.外科手术部位感染目标性监测分析[J].内蒙古中医药, 2012, 31(12):71-72.
37. Shabanzadeh DM, Sørensen LT.Laparoscopic surgery compared with open surgery decreases surgical site infection in obese patients:a systematic review and meta-analysis[J].Ann Surg, 2012, 256(6):934-945.

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Risk Factors and Preventive Measures of Surgical Site Infection

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